NPIMap

Organization Active NPI

Pyramid Healthcare Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Allentown, PA
National Provider Identifier
1629352927
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
397058 Issued in PA
Legal business name
PYRAMID HEALTHCARE INC.
Practice address
1605 North Cedar Crest Boulevard, Suite 105
Roma Corporate Center
Allentown, PA 18104
Phone
(610) 434-1126
Fax
(610) 434-1179
NPI assigned
Oct 5, 2011
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Mr. Jason Hendricks
Title
Ceo
Phone
(814) 940-0407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 397058 PA Primary

Addresses

Primary practice location

1605 North Cedar Crest Boulevard, Suite 105
Roma Corporate Center
Allentown, PA 18104

Mailing address

1894 Plank Rd
PO Box 967
Duncansville, PA 16635-8380
Phone (814) 940-0407

Other identifiers 4

IdentifierTypeStateIssuer
397058OtherPADEPARTMENT OF HEALTH LICENSE NUMBER
1007625050067MedicaidPA
1007625050075MedicaidPA
1007625050066MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Pyramid Healthcare40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1629352927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1894 PLANK RD",
            "address_2": "PO BOX 967",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166358380",
            "telephone_number": "814-940-0407",
            "fax_number": "814-381-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 NORTH CEDAR CREST BOULEVARD, SUITE 105",
            "address_2": "ROMA CORPORATE CENTER",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18104",
            "telephone_number": "610-434-1126",
            "fax_number": "610-434-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYRAMID HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-940-0407",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "397058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH LICENSE NUMBER",
            "identifier": "397058",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007625050067",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007625050075",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007625050066",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.