NPIMap

Organization Active NPI

Diakon Lutheran Social Ministries

Doing business as Manatawny Adult Day Care Services

  • Developmentally Disabled Services Day Training Agency
  • Pottstown, PA
National Provider Identifier
1346207628
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
270020 Issued in PA
Legal business name
DIAKON LUTHERAN SOCIAL MINISTRIES
Doing business as
Manatawny Adult Day Care Services
Practice address
30 Old Schuylkill Rd
Pottstown, PA 19465-7971
Phone
(610) 705-3749
NPI assigned
Apr 28, 2006
Last updated
Jan 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Jarrod Leo
Title
Senior VP,Financial Planning & Oper
Phone
(717) 795-0364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 270020 PA Primary

Addresses

Primary practice location

30 Old Schuylkill Rd
Pottstown, PA 19465-7971

Mailing address

1022 N Union St
Middletown, PA 17057-2158
Phone (717) 795-0386

Other identifiers 1

IdentifierTypeStateIssuer
1007358670003MedicaidPA

Other names 1

  • Manatawny Adult Day Care Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Locust Grove Retirement26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1346207628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 N UNION ST",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170572158",
            "telephone_number": "717-795-0386",
            "fax_number": "717-795-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 OLD SCHUYLKILL RD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194657971",
            "telephone_number": "610-705-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAKON LUTHERAN SOCIAL MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "LEO",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "SENIOR VP,FINANCIAL PLANNING & OPER",
        "authorized_official_telephone_number": "717-795-0364"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "PA",
            "license": "270020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007358670003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manatawny Adult Day Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.