Individual provider Active NPI

Surbrena D Hargrove-Dunbar

  • Adult Day Care Clinic/Center
  • Harrisburg, PA
National Provider Identifier
1396501938
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
238294 Issued in RI
Practice address
2213 Forest Hills Dr Ste 2
Harrisburg, PA 17112-1090
Phone
(717) 329-8016
Fax
(717) 939-5752
NPI assigned
Feb 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 238294 RI Primary

Addresses

Primary practice location

2213 Forest Hills Dr Ste 2
Harrisburg, PA 17112-1090

Mailing address

6260 Stirrup CT
Harrisburg, PA 17111-6895
Phone (717) 329-8016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
238294RIMDAdult Day Care Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1396501938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 STIRRUP CT",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171116895",
            "telephone_number": "717-329-8016",
            "fax_number": "717-939-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 FOREST HILLS DR STE 2",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121090",
            "telephone_number": "717-329-8016",
            "fax_number": "717-939-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGROVE-DUNBAR",
        "first_name": "SURBRENA",
        "middle_name": "D",
        "name_prefix": "Prof.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "RI",
            "license": "238294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.