NPIMap

Organization Active NPI

Vista Adult Services Organization

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hershey, PA
National Provider Identifier
1336513878
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
VISTA ADULT SERVICES ORGANIZATION
Doing business as
Adult Residential Services
Practice address
1021 Springboard Dr
Hershey, PA 17033-8820
Phone
(717) 583-5102
Fax
(717) 583-5127
NPI assigned
Nov 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
James Bouder
Title
Chief Operating Officer
Phone
(717) 583-5102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

1021 Springboard Dr
Hershey, PA 17033-8820

Mailing address

1021 Springboard Dr
Hershey, PA 17033-8820
Phone (717) 583-5102

Other names 1

  • Adult Residential Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adult Residential Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1336513878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 SPRINGBOARD DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170338820",
            "telephone_number": "717-583-5102",
            "fax_number": "717-583-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SPRINGBOARD DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170338820",
            "telephone_number": "717-583-5102",
            "fax_number": "717-583-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA ADULT SERVICES ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "BOUDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "717-583-5102"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Residential Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.