NPIMap

Organization Active NPI

Harborcreek Youth Services

  • Foster Care Agency
  • Harborcreek, PA
National Provider Identifier
1508019886
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
438960 Issued in PA
Legal business name
HARBORCREEK YOUTH SERVICES
Practice address
5712 Iroquois Ave
Harborcreek, PA 16421-1009
Phone
(814) 899-7664
NPI assigned
Oct 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Elizabeth Ann Iadeluca
Title
Cfo
Phone
(814) 899-7664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 438960 PA Primary

Addresses

Primary practice location

5712 Iroquois Ave
Harborcreek, PA 16421-1009

Mailing address

5712 Iroquois Ave
Harborcreek, PA 16421-1009
Phone (814) 899-7664

Other identifiers 1

IdentifierTypeStateIssuer
001410380MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Harborcreek Youth Services14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1508019886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5712 IROQUOIS AVE",
            "city": "HARBORCREEK",
            "state": "PA",
            "postal_code": "164211009",
            "telephone_number": "814-899-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5712 IROQUOIS AVE",
            "city": "HARBORCREEK",
            "state": "PA",
            "postal_code": "164211009",
            "telephone_number": "814-899-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORCREEK YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "IADELUCA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-899-7664"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "PA",
            "license": "438960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001410380",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harborcreek, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.