Service Coordination Resources, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SERVICE COORDINATION RESOURCES, INC.

Practice address

2337 W 50TH St
Erie, PA 16506-4929

Phone

(814) 833-0148

Fax

(814) 838-3984

NPI assigned

Jul 18, 2016

Last updated

Jul 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Todd J. Proper

Title

Executive Director

Phone

(814) 833-0148

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1659724425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 W 50TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064929",
            "telephone_number": "814-833-0148",
            "fax_number": "814-838-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 W 50TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064929",
            "telephone_number": "814-833-0148",
            "fax_number": "814-838-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICE COORDINATION RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "PROPER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-833-0148"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102744382",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.