NPIMap

Organization Active NPI

Mama'S House P.C.H.

  • Mental Illness Intermediate Care Facility
  • Claysville, PA
National Provider Identifier
1467648709
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
License
400630 Issued in PA
Legal business name
MAMA'S HOUSE P.C.H.
Practice address
142 Elm St.
Claysville, PA 15323
Phone
(724) 663-4284
Fax
(724) 663-4284
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Mrs. Joyce Ewing, B.S., M.S.W.
Title
Owner
Phone
(412) 217-9026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X 400630 PA Primary

Addresses

Primary practice location

142 Elm St.
Claysville, PA 15323

Mailing address

142 Elm St.
P.O. Box 494
Claysville, PA 15323
Phone (724) 663-4284

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1467648709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 ELM ST.",
            "address_2": "P.O. BOX 494",
            "city": "CLAYSVILLE",
            "state": "PA",
            "postal_code": "15323",
            "telephone_number": "724-663-4284",
            "fax_number": "724-663-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 ELM ST.",
            "city": "CLAYSVILLE",
            "state": "PA",
            "postal_code": "15323",
            "telephone_number": "724-663-4284",
            "fax_number": "724-663-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMA'S HOUSE P.C.H.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-217-9026",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S., M.S.W."
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "PA",
            "license": "400630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.