Organization Active NPI

Professional Family Care Services, Inc.

  • Early Intervention Provider Agency
  • Johnstown, PA
National Provider Identifier
1477709269
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
PROFESSIONAL FAMILY CARE SERVICES, INC.
Practice address
937 Menoher Blvd
Johnstown, PA 15905-2838
Phone
(814) 255-9559
Fax
(814) 255-5400
NPI assigned
Aug 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Lynette Ponchione Gruca
Title
Executive Director
Phone
(814) 255-9559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

937 Menoher Blvd
Johnstown, PA 15905-2838

Mailing address

937 Menoher Blvd
Johnstown, PA 15905-2838
Phone (814) 255-9559

National Provider Directory

National Provider Directory

Locations

937 Menoher Blvd
Johnstown, PA 15905
Phone (814) 255-5615

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1477709269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 MENOHER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159052838",
            "telephone_number": "814-255-9559",
            "fax_number": "814-255-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 MENOHER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159052838",
            "telephone_number": "814-255-9559",
            "fax_number": "814-255-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL FAMILY CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "GRUCA",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_middle_name": "PONCHIONE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-255-9559"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.