Organization Active NPI

Connellsville Area Senior Tigers, Inc

  • Meals Provider
  • Connellsville, PA
National Provider Identifier
1487169330
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
Legal business name
CONNELLSVILLE AREA SENIOR TIGERS, INC
Practice address
100 E Fayette St
Connellsville, PA 15425-3334
Phone
(724) 626-1515
Fax
(724) 628-4701
NPI assigned
Dec 13, 2017
Last updated
Dec 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Authorized official

Name
Patricia Pritts
Title
Executive Director
Phone
(724) 626-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X PA Primary

Addresses

Primary practice location

100 E Fayette St
Connellsville, PA 15425-3334

Mailing address

100 E Fayette St
Connellsville, PA 15425-3334
Phone (724) 626-1515

National Provider Directory

National Provider Directory

Locations

100 E Fayette St
Connellsville, PA 15425
Phone (724) 626-1515

NPI Registry JSON

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1487169330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E FAYETTE ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253334",
            "telephone_number": "724-626-1515",
            "fax_number": "724-628-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E FAYETTE ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253334",
            "telephone_number": "724-626-1515",
            "fax_number": "724-628-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNELLSVILLE AREA SENIOR TIGERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "PRITTS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "724-626-1515"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.