Lifespan Family Services of PA

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

441380 Issued in PA

Legal business name

LIFESPAN FAMILY SERVICES OF PA

Practice address

203 Lane Ave
Punxsutawney, PA 15767-2118

Phone

(814) 938-4408

Fax

(814) 690-1850

NPI assigned

Mar 7, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Patrick A. Shea, LCSWNPI 1467766493

Title

Executive Director

Phone

(814) 938-4408

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Patrick Alan Shea, M.S., M.S.W.

  • Social Worker
  • Punxsutawney, PA
  • NPI 1467766493
  Authorized official Same address or phone

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1508368440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 LANE AVE",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672118",
            "telephone_number": "814-938-4408",
            "fax_number": "814-690-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 LANE AVE",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672118",
            "telephone_number": "814-938-4408",
            "fax_number": "814-690-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN FAMILY SERVICES OF PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-938-4408",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "PA",
            "license": "441380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Scott Kunselman, PHARMD
• James P Laughner, D.O.
• Laurel Eye Clinic
• Carole J Lewis, MA
• John Ralph Lewis, M.D.
• Nichole Valerie Lightcap, OTR/L
• Kyle A Lingenfelter, MD FACS
• Suzanne Falo Lingenfelter, CPNP
• Sarah Lynn Lloyd, CRNP
• Bill Ray Long, PHD

• Foster Care Agency in Punxsutawney, PA
• Providers in Punxsutawney, PA by specialty
• Foster Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.