Center for Independent Living of North Central PA

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

CENTER FOR INDEPENDENT LIVING OF NORTH CENTRAL PA

Practice address

210 Market St
Suite a
Williamsport, PA 17701-6638

Phone

(570) 327-9070

Fax

(570) 327-8610

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John R Hettinger, MSW

Title

Director of Operations

Phone

(570) 327-9070

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• CILNCP Other name

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427179647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MARKET ST",
            "address_2": "SUITE A",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016638",
            "telephone_number": "570-327-9070",
            "fax_number": "570-327-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MARKET ST",
            "address_2": "SUITE A",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016638",
            "telephone_number": "570-327-9070",
            "fax_number": "570-327-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INDEPENDENT LIVING OF NORTH CENTRAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HETTINGER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "570-327-9070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERMEDIATE SERV. ORG",
            "identifier": "54",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VENDOR",
            "identifier": "55",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATTENDANT CARE",
            "identifier": "59",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME AND COMMUNITY HABILI",
            "identifier": "51",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CILNCP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Voluntary or Charitable Agency in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Voluntary or Charitable Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.