Active NPI
Cares Community and Residential Empowerment Services Inc
- Developmentally Disabled Services Day Training Agency
- Tamaqua, PA
National Provider Identifier
1619303245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- 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, 2013
- 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
- Ms. Sheila Davison
- Title
- Ceo, President
- Phone
- (570) 778-0797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 513 | Medicaid | PA | |
| 522 | Medicaid | PA | |
| 6500 | Medicaid | PA | |
| 51 | Medicaid | PA | |
| 516 | Medicaid | PA | |
| 267 | Medicaid | PA | |
| 52 | Medicaid | PA | |
| 510 | Medicaid | PA | |
| 512 | Medicaid | PA | |
| 2380 | Medicaid | PA | |
| 26 | Medicaid | PA | |
| 2390 | Medicaid | PA | |
| 431 | Medicaid | PA | |
| 514 | Medicaid | PA | |
| 515 | Medicaid | PA |
Other names 1
- CARES
National Provider Directory
National Provider DirectoryLocations
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"
}
]
}
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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.