Organization Active NPI

Penncares

  • Voluntary or Charitable Agency
  • Hanover, PA
National Provider Identifier
1609901412
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
PENNCARES
Practice address
788 Cherry Tree CT
Hanover, PA 17331-7901
Phone
(717) 632-5552
Fax
(717) 632-2315
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
Ms. Cynthia Bosserman
Title
Director of Children'S Programs
Phone
(717) 632-5552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

788 Cherry Tree CT
Hanover, PA 17331-7901

Mailing address

788 Cherry Tree CT
Hanover, PA 17331-7901
Phone (717) 632-5552

Other names 1

  • United Cerebral Palsy of South Central PA, Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Penncares2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

788 Cherry Tree Ct
Hanover, PA 17331
Phone (717) 632-5552

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1609901412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 CHERRY TREE CT",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173317901",
            "telephone_number": "717-632-5552",
            "fax_number": "717-632-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 CHERRY TREE CT",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173317901",
            "telephone_number": "717-632-5552",
            "fax_number": "717-632-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNCARES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "BOSSERMAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "DIRECTOR OF CHILDREN'S PROGRAMS",
        "authorized_official_telephone_number": "717-632-5552",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Cerebral Palsy of South Central PA, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.