Organization Active NPI

Northeast Pennsylvania Center for Independent Living

  • Supports Brokerage Agency
  • Scranton, PA
National Provider Identifier
1659601979
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
NORTHEAST PENNSYLVANIA CENTER FOR INDEPENDENT LIVING
Doing business as
ACESS Financial Management Services
Practice address
1142 Sanderson Ave
Scranton, PA 18509-2623
Phone
(570) 344-7211
Fax
(570) 558-5570
NPI assigned
Jan 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Helen Logan
Title
Director of Accounting
Phone
(570) 344-7211

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171WH0202X
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Case Management Agency 251B00000X
Supports Brokerage Agency 251X00000X Primary

Addresses

Primary practice location

1142 Sanderson Ave
Scranton, PA 18509-2623

Mailing address

1142 Sanderson Ave
Scranton, PA 18509-2623
Phone (570) 344-7211

Other identifiers 3

IdentifierTypeStateIssuer
88931382MedicaidCO
100680698MedicaidPA
APPLIED FORMedicaidWY

Other names 1

  • ACESS Financial Management Services Doing business as

National Provider Directory

National Provider Directory

Locations

1142 Sanderson Ave
Scranton, PA 18509
Phone (570) 344-7211

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1659601979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 SANDERSON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092623",
            "telephone_number": "570-344-7211",
            "fax_number": "570-558-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 SANDERSON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092623",
            "telephone_number": "570-344-7211",
            "fax_number": "570-558-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PENNSYLVANIA CENTER FOR INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTING",
        "authorized_official_telephone_number": "570-344-7211"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88931382",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100680698",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLIED FOR",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACESS Financial Management Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.