Active NPI
Diakon Lutheran Social Ministries
Doing business as Diakon Family Life Services
- Community/Behavioral Health Agency
- New Bloomfield, PA
National Provider Identifier
1336205194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- DIAKON LUTHERAN SOCIAL MINISTRIES
- Doing business as
- Diakon Family Life Services
- Practice address
- Co New Bloomfield Borough Building
25 East McClure Street
New Bloomfield, PA 17068 - Phone
- (717) 795-0330
- Fax
- (717) 795-0407
- NPI assigned
- Dec 28, 2006
- Last updated
- Nov 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rita A. Rousseau
- Title
- Executive Director Cos
- Phone
- (717) 795-0368
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
Co New Bloomfield Borough Building
25 East McClure Street
New Bloomfield, PA 17068
Mailing address
435 W 4TH St
Williamsport, PA 17701-6001
Phone (570) 322-7873
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007777400042 | Medicaid | PA |
Other names 1
- Diakon Family Life Services
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Luther Crest
- Skilled Nursing Facility
- Allentown, PA
- NPI 1447217112
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194480000000",
"number": "1336205194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 W 4TH ST",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177016001",
"telephone_number": "570-322-7873",
"fax_number": "570-322-8026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CO NEW BLOOMFIELD BOROUGH BUILDING",
"address_2": "25 EAST MCCLURE STREET",
"city": "NEW BLOOMFIELD",
"state": "PA",
"postal_code": "17068",
"telephone_number": "717-795-0330",
"fax_number": "717-795-0407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAKON LUTHERAN SOCIAL MINISTRIES",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2007-11-08",
"status": "A",
"authorized_official_last_name": "ROUSSEAU",
"authorized_official_first_name": "RITA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR COS",
"authorized_official_telephone_number": "717-795-0368"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007777400042",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Diakon Family Life Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Bloomfield, PA
- Amara Dell
- Diakon Child Family & Community Ministries (Family Life Services)
- Diakon Child, Family & Community (Diakon Family Life Services)
- Diakon Child, Family & Community Ministries (Diakon Family Life Services)
- Diakon Lutheran Social Ministries (Diakon Family Life Services)
- Fresh Start Counseling Center, LLC
- Lauren Elizabeth Greene, LSW
- Julie Hall
- Heaven Care Services LLC
- Robert Hench, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.