Organization Active NPI

Cares Community and Residential Empowerment Services Inc

  • Developmentally Disabled Services Day Training Agency
  • Tamaqua, PA
National Provider Identifier
1619303245
Registry record updated Sep 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CARES COMMUNITY AND RESIDENTIAL EMPOWERMENT SERVICES INC
Practice address
139 W Broad St
Suite 102-Cares
Tamaqua, PA 18252-1960
Phone
(570) 778-0797
Fax
(570) 225-7360
NPI assigned
Sep 14, 2013
Last updated
Sep 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2013

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

Authorized official

Name
Ms. Sheila Davison
Title
Ceo, President
Phone
(570) 778-0797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X PA Primary

Addresses

Primary practice location

139 W Broad St
Suite 102-Cares
Tamaqua, PA 18252-1960

Mailing address

139 W Broad St
Suite 102-Cares
Tamaqua, PA 18252-1960
Phone (570) 778-0797

Other identifiers 15

IdentifierTypeStateIssuer
513MedicaidPA
522MedicaidPA
6500MedicaidPA
51MedicaidPA
516MedicaidPA
267MedicaidPA
52MedicaidPA
510MedicaidPA
512MedicaidPA
2380MedicaidPA
26MedicaidPA
2390MedicaidPA
431MedicaidPA
514MedicaidPA
515MedicaidPA

Other names 1

  • CARES Other name

National Provider Directory

National Provider Directory

Locations

139 W Broad St
Ste 102
Tamaqua, PA 18252
Phone (570) 778-0797

NPI Registry JSON

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

{
    "created_epoch": "1379116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379116800000",
    "number": "1619303245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 W BROAD ST",
            "address_2": "SUITE 102-CARES",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182521960",
            "telephone_number": "570-778-0797",
            "fax_number": "570-225-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 W BROAD ST",
            "address_2": "SUITE 102-CARES",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182521960",
            "telephone_number": "570-778-0797",
            "fax_number": "570-225-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARES COMMUNITY AND RESIDENTIAL EMPOWERMENT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-14",
        "last_updated": "2013-09-14",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "570-778-0797",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "513",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6500",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "516",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "512",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2380",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2390",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "514",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "515",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tamaqua, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2013; 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.