Choice Supports Coordination

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

CHOICE SUPPORTS COORDINATION

Practice address

2312 W 15TH St
Erie, PA 16505-4560

Phone

(814) 812-0573

NPI assigned

Jun 16, 2023

Last updated

Jun 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Christopher Hollern

Title

President

Phone

(814) 812-0573

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1336824416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 LONGWOOD DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165051023",
            "telephone_number": "814-812-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 W 15TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054560",
            "telephone_number": "814-812-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE SUPPORTS COORDINATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "HOLLERN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-812-0573"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Nathan Chiu, DO
• Stephanie Ann Chlebus-Nick, PA-C
• Scott Anthony Chludzinski, RPH
• Carleen Cho, MD
• Kunga Choden
• Katherine Gobbie Chorazy, M.D.
• Zdzislaw J Chorazy, MD
• Marcia Marie Chorney, MA, ATR
• Fred A Chovan, M.ED.
• Adam Fredrick Christensen, D.O.

• Developmental Disabilities Clinic/Center in Erie, PA
• Providers in Erie, PA by specialty
• Developmental Disabilities Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.