NPIMap

Organization Active NPI

Phoebe Corporate and Community Based Services Inc

  • Rehabilitation Clinic/Center
  • Wernersville, PA
National Provider Identifier
1457617813
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PHOEBE CORPORATE AND COMMUNITY BASED SERVICES INC
Practice address
1 Reading Dr
Wernersville, PA 19565-2018
Phone
(610) 927-8560
NPI assigned
Apr 10, 2012
Last updated
Aug 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Mr. Scott R Stevenson
Title
President/Ceo/Cfo
Phone
(610) 794-5142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1 Reading Dr
Wernersville, PA 19565-2018

Mailing address

1925 W Turner St
Allentown, PA 18104-5513
Phone (610) 794-5010

Other identifiers 1

IdentifierTypeStateIssuer
242597OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140411000503 PA Part B Supplier - Clinic/Group Practice 2961668157 Receives reassigned benefits from 39 practitioners
2 other NPIs on this enrollment
Practice locations: Allentown, PA; Richlandtown, PA; Wernersville, PA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1457617813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 W TURNER ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045513",
            "telephone_number": "610-794-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 READING DR",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195652018",
            "telephone_number": "610-927-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOEBE CORPORATE AND COMMUNITY BASED SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/CEO/CFO",
        "authorized_official_telephone_number": "610-794-5142",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "242597",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wernersville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.