Office of Labor & Industry

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

5343 Issued in PA

Legal business name

OFFICE OF LABOR & INDUSTRY

Practice address

727 Goucher St
Johnstown, PA 15905-3025

Phone

(814) 254-0442

Fax

(814) 254-0466

NPI assigned

Nov 25, 2013

Organization subpart

No

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

Authorized official

Name

Christopher R Zakraysek, MS

Title

Director of Institutional Managemen

Phone

(814) 254-0442

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Comw of PA Dept of Labor&Industry Hiram G Andrews Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1326478587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 EISENHOWER BLVD",
            "address_2": "SUITE 104",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043262",
            "telephone_number": "814-269-1494",
            "fax_number": "814-266-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 GOUCHER ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159053025",
            "telephone_number": "814-254-0442",
            "fax_number": "814-254-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE OF LABOR & INDUSTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "ZAKRAYSEK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR OF INSTITUTIONAL MANAGEMEN",
        "authorized_official_telephone_number": "814-254-0442",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "5343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLICATION ON FILE",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comw of PA Dept of Labor&Industry Hiram G Andrews Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Martin O'Herrick, BSED
• Jami Ann Oaks, MA
• Susan Marie Obarsky, MSW
• Brian R Oberneder, DPM
• Oluwole Olaniyi Odujoko, M.D
• Jamie Elizabeth Okopal, RN, CRNA
• Nkechi Efetobore Okotcha, MD
• Celeste A Olszewski
• Oncology Hematology Association
• Oncology Hematology Association

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.