NPIMap

Organization Active NPI

Diakon Family Life Services

  • Community/Behavioral Health Agency
  • Mechanicsburg, PA
National Provider Identifier
1558766980
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIAKON FAMILY LIFE SERVICES
Practice address
960 Century Dr
Mechanicsburg, PA 17055-4530
Phone
(717) 795-0330
Fax
(717) 795-0407
NPI assigned
Oct 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Shane Charles Reider, BA
Title
Case Manager 2
Phone
(717) 409-4334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

960 Century Dr
Mechanicsburg, PA 17055-4530

Mailing address

1022 N Union St
Middletown, PA 17057-2158
Phone (717) 795-0330

Other names 1

  • Diakon Lutheran Social Ministries Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Diakon Child Family Community Ministries26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1558766980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 N UNION ST",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170572158",
            "telephone_number": "717-795-0330",
            "fax_number": "717-795-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 CENTURY DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554530",
            "telephone_number": "717-795-0330",
            "fax_number": "717-795-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAKON FAMILY LIFE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "REIDER",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CASE MANAGER 2",
        "authorized_official_telephone_number": "717-409-4334",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diakon Lutheran Social Ministries",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.