NPIMap

Concern-Professional Services for Children, Youth & Families

Organization Active NPI Nursing Care Agency · Wilkes Barre, PA

NPI 1487955407 · NPPES record last updated Jul 1, 2019

Key facts

NPI
1487955407
Entity type
Organization (NPI type 2)
Primary specialty
Nursing Care Agency 251J00000X
License
214070 (PA)
Legal business name
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES
Practice address
100 N Wilkes Barre Blvd Ste 212
Wilkes Barre, PA 18702-5256
Phone
(570) 876-3800
NPI assigned
Nov 8, 2010
Organization subpart
No

Authorized official

Name
Mr. Gordon H. May
Title
President/Ceo
Phone
(610) 944-0445

Corporate family (same tax ID) 24

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

National Provider Directory

Tax ID family
Concern Prof Serv for Child (135 organizations share this tax ID)

Locations

100 N Wilkes Barre Blvd
Ste 212
Wilkes Barre, PA 18702
Phone (570) 876-3800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 222210 PA
Nursing Care Agency 251J00000X 214070 PA Yes

Addresses

Primary practice location

100 N Wilkes Barre Blvd Ste 212
Wilkes Barre, PA 18702-5256

Mailing address

1 W Main St
Fleetwood, PA 19522-1323
Phone (610) 944-0445

Other identifiers

IdentifierTypeStateIssuer
100006375MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 1, 2019.

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1487955407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W MAIN ST",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195221323",
            "telephone_number": "610-944-0445",
            "fax_number": "610-944-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WILKES BARRE BLVD STE 212",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187025256",
            "telephone_number": "570-876-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "610-944-0445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "222210",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "PA",
            "license": "214070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100006375",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

All providers in Wilkes Barre, PA · Nursing Care Agency in Pennsylvania

Sources for this page

Verify at the official NPI Registry.