Active NPI
Latino Connection Foundation
- Public Health or Welfare Agency
- Harrisburg, PA
National Provider Identifier
1619732310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- LATINO CONNECTION FOUNDATION
- Practice address
- 940 E Park Dr
Harrisburg, PA 17111-2800 - Phone
- (717) 963-7218
- NPI assigned
- Feb 21, 2024
- 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. Jamil Bechara
- Title
- Director of Provider Networking
- Phone
- (610) 800-0629
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Public Health or Welfare Agency | 251K00000X | Primary | ||
| Clinic/Center | 261Q00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X |
Addresses
Primary practice location
940 E Park Dr
Harrisburg, PA 17111-2800
Mailing address
940 E Park Dr
Harrisburg, PA 17111-2800
Phone (717) 963-7218
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709856000000",
"number": "1619732310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 E PARK DR",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171112800",
"telephone_number": "717-963-7218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 E PARK DR",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171112800",
"telephone_number": "717-963-7218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LATINO CONNECTION FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-21",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A",
"authorized_official_last_name": "BECHARA",
"authorized_official_first_name": "JAMIL",
"authorized_official_title_or_position": "DIRECTOR OF PROVIDER NETWORKING",
"authorized_official_telephone_number": "610-800-0629",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.