Commonwealth Supportive Services,LLC.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

COMMONWEALTH SUPPORTIVE SERVICES,LLC.

Doing business as

Same as above

Practice address

1602 Macdade Blvd
Folsom, PA 19033-1313

Phone

(267) 207-1941

NPI assigned

Jan 1, 2014

Last updated

Jun 27, 2016By 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

Thomas Kargbo

Title

C.E.O.

Phone

(267) 207-1941

Specialties & licenses 2

Addresses

Other names 1

• Same as above Doing business as

Locations

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

{
    "created_epoch": "1388534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1457772808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 MACDADE BLVD",
            "city": "FOLSOM",
            "state": "PA",
            "postal_code": "190331313",
            "telephone_number": "267-207-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 MACDADE BLVD",
            "city": "FOLSOM",
            "state": "PA",
            "postal_code": "190331313",
            "telephone_number": "267-207-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH SUPPORTIVE SERVICES,LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-01",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "KARGBO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "267-207-1941"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Same as above",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Licensed Practical Nurse in Folsom, PA
• Providers in Folsom, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.