Organization Active NPI

A to Z Supports Coordination LLC

  • Case Manager/Care Coordinator
  • Upper Darby, PA
National Provider Identifier
1356825319
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
A TO Z SUPPORTS COORDINATION LLC
Practice address
8420 W Chester Pike
Upper Darby, PA 19082-2739
Phone
(484) 452-6139
Fax
(484) 452-6244
NPI assigned
Sep 17, 2018
Last updated
Sep 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Authorized official

Name
Reena Kurian, RN
Title
Administrator
Phone
(484) 452-6139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

8420 W Chester Pike
Upper Darby, PA 19082-2739

Mailing address

8420 W Chester Pike
Upper Darby, PA 19082-2739
Phone (484) 452-6139

Other identifiers 2

IdentifierTypeStateIssuer
103460212MedicaidPA
103460212-001MedicaidPA

National Provider Directory

National Provider Directory

Locations

8420 W Chester Pike
Upper Darby, PA 19082
Phone (484) 452-6139

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1356825319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 W CHESTER PIKE",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822739",
            "telephone_number": "484-452-6139",
            "fax_number": "484-452-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 W CHESTER PIKE",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822739",
            "telephone_number": "484-452-6139",
            "fax_number": "484-452-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TO Z SUPPORTS COORDINATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "KURIAN",
        "authorized_official_first_name": "REENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "484-452-6139",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103460212",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103460212-001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.