NPIMap

Organization Active NPI

Tioga County Department of Human Services

  • Developmentally Disabled Services Day Training Agency
  • Wellsboro, PA
National Provider Identifier
1457527640
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
TIOGA COUNTY DEPARTMENT OF HUMAN SERVICES
Practice address
1873 Shumway Hill Rd
Wellsboro, PA 16901-6840
Phone
(570) 724-9334
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Mr. Samuel A Greene
Title
Administrator
Phone
(570) 724-5766

Specialties & licenses 1

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

Addresses

Primary practice location

1873 Shumway Hill Rd
Wellsboro, PA 16901-6840

Mailing address

1873 Shumway Hill Rd
Wellsboro, PA 16901-6840
Phone (570) 724-5766

Other identifiers 1

IdentifierTypeStateIssuer
100000040MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Tioga County Dept of Human Services16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1457527640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1873 SHUMWAY HILL RD",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169016840",
            "telephone_number": "570-724-5766",
            "fax_number": "570-724-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1873 SHUMWAY HILL RD",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169016840",
            "telephone_number": "570-724-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIOGA COUNTY DEPARTMENT OF HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-724-5766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000040",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.