Organization Active NPI

Dedicated Support Network

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Allentown, PA
National Provider Identifier
1336897610
Registry record updated Mar 15, 2022
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
DEDICATED SUPPORT NETWORK
Practice address
2015 Hamilton St Ste 106
Allentown, PA 18104-6447
Phone
(484) 300-7863
NPI assigned
Mar 15, 2022
Last updated
Mar 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Franca AnabuiNPI 1245815372
Title
Owner
Phone
(484) 300-7863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2015 Hamilton St Ste 106
Allentown, PA 18104-6447

Mailing address

951 Barnside Rd
Allentown, PA 18103-6056

Other identifiers 1

IdentifierTypeStateIssuer
103953780-0001MedicaidPA

National Provider Directory

National Provider Directory

Locations

2015 Hamilton St
Ste 106
Allentown, PA 18104
Phone (484) 300-7863

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1336897610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 BARNSIDE RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 HAMILTON ST STE 106",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046447",
            "telephone_number": "484-300-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED SUPPORT NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "ANABUI",
        "authorized_official_first_name": "FRANCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-300-7863"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103953780-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.