Organization Active NPI

Cardinal Krol Center

Doing business as Cardinal Krol Center at Don Guanella Village

  • Intellectual Disabilities Intermediate Care Facility
  • Springfield, PA
National Provider Identifier
1306979612
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
CARDINAL KROL CENTER
Doing business as
Cardinal Krol Center at Don Guanella Village
Practice address
1799 S Sproul Rd
Springfield, PA 19064-1137
Phone
(610) 543-3380
Fax
(610) 543-5397
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Patti Menszak
Title
Administrator
Phone
(610) 543-3380

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X PA Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X PA

Addresses

Primary practice location

1799 S Sproul Rd
Springfield, PA 19064-1137

Mailing address

20 E Cleveland Ave
Norwood, PA 19074-1207
Phone (610) 543-3380

Other identifiers 1

IdentifierTypeStateIssuer
0001029237001MedicaidPA

Other names 1

  • Cardinal Krol Center at Don Guanella Village Doing business as

National Provider Directory

National Provider Directory

Locations

1799 S Sproul Rd
Springfield, PA 19064

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1306979612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E CLEVELAND AVE",
            "city": "NORWOOD",
            "state": "PA",
            "postal_code": "190741207",
            "telephone_number": "610-543-3380",
            "fax_number": "610-543-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 S SPROUL RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190641137",
            "telephone_number": "610-543-3380",
            "fax_number": "610-543-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL KROL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "MENSZAK",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-543-3380",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001029237001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardinal Krol Center at Don Guanella Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.