Pennsylvania Support Coordination, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PENNSYLVANIA SUPPORT COORDINATION, INC

Practice address

2201 Strahle St Apt C1
Philadelphia, PA 19152-2500

Phone

(888) 488-5583

Fax

(215) 305-8215

NPI assigned

Apr 3, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Marina Amerkhanova

Title

President

Phone

(888) 488-5583

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1508284894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 STRAHLE ST APT C1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522500",
            "telephone_number": "888-488-5583",
            "fax_number": "215-305-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 STRAHLE ST APT C1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522500",
            "telephone_number": "888-488-5583",
            "fax_number": "215-305-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA SUPPORT COORDINATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "AMERKHANOVA",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-488-5583",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Case Management Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.