Spectrum Community Services, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

229500 Issued in PA

Legal business name

SPECTRUM COMMUNITY SERVICES, INC.

Practice address

2921 Windmill Rd Ste 1
Sinking Spring, PA 19608-1678

Phone

(610) 717-5722

Fax

(610) 750-7167

NPI assigned

Jan 8, 2013

Last updated

Jan 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Joyce A Gerber, MS,RN, BC

Title

Executive Director

Phone

(610) 717-5722

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Spectrum Community Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Spectrum Community Services, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Shillington, PA
  • NPI 1265553291
  NPD tax ID

Locations

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1457698755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 WINDMILL RD STE 1",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196081678",
            "telephone_number": "610-717-5722",
            "fax_number": "610-750-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 WINDMILL RD STE 1",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196081678",
            "telephone_number": "610-717-5722",
            "fax_number": "610-750-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-717-5722",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS,RN, BC"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "PA",
            "license": "219940",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "233210",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "229500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPI",
            "identifier": "100004147",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Sinking Spring, PA
• Providers in Sinking Spring, PA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.