Active NPI
Volunteers of America
- Mental Illness Community Based Residential Treatment Facility
- Wilkes Barre, PA
National Provider Identifier
1568635316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- VOLUNTEERS OF AMERICA
- Practice address
- 25 N River St
Wilkes Barre, PA 18702-2427 - Phone
- (570) 825-5261
- NPI assigned
- Apr 11, 2008
- Last updated
- Apr 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Jones
- Title
- Vice President
- Phone
- (570) 825-5261
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU | Primary |
Addresses
Primary practice location
25 N River St
Wilkes Barre, PA 18702-2427
Mailing address
25 N River St
Wilkes Barre, PA 18702-2427
Phone (570) 825-5261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000066600002 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Volunteers of America
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Social Worker
- Harrisburg, PA
- NPI 1083066724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207872000000",
"number": "1568635316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 N RIVER ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187022427",
"telephone_number": "570-825-5261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N RIVER ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187022427",
"telephone_number": "570-825-5261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VOLUNTEERS OF AMERICA",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-11",
"last_updated": "2008-04-11",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "570-825-5261",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000066600002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.