NPIMap

Organization Active NPI

Tri County Human Services Center Inc

  • Case Management Agency
  • Montrose, PA
National Provider Identifier
1386837409
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
TRI COUNTY HUMAN SERVICES CENTER INC
Practice address
RT 706 E
Lake Plaza 2
Montrose, PA 18801
Phone
(570) 282-3393
Fax
(570) 278-1716
NPI assigned
Aug 22, 2007
Organization subpart
Yes
Parent organization
TRI COUNTY HUMAN SERVICES CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Michael Tolerico
Title
Accounting Manager
Phone
(570) 282-1732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

RT 706 E
Lake Plaza 2
Montrose, PA 18801

Mailing address

PO Box 514
185 Fallbrook St
Carbondale, PA 18407-0514
Phone (570) 282-1732

Other identifiers 1

IdentifierTypeStateIssuer
100001889MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Tri County Human Servic8 organizations share this tax ID, including this one
Part of
Tri County Human Servic

Other organizations with this tax ID 7

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": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1386837409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 514",
            "address_2": "185 FALLBROOK ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184070514",
            "telephone_number": "570-282-1732",
            "fax_number": "570-282-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 706 E",
            "address_2": "LAKE PLAZA 2",
            "city": "MONTROSE",
            "state": "PA",
            "postal_code": "18801",
            "telephone_number": "570-282-3393",
            "fax_number": "570-278-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY HUMAN SERVICES CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI COUNTY HUMAN SERVICES CENTER INC",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "TOLERICO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "570-282-1732"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001889",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.