Organization Active NPI

Penna Association for the Blind Chester County Branch Inc

  • Case Manager/Care Coordinator
  • Coatesville, PA
National Provider Identifier
1669293189
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
PENNA ASSOCIATION FOR THE BLIND CHESTER COUNTY BRANCH INC
Doing business as
CCABVI Chester County Association for the Blind and Visually Impaired
Practice address
71 S 1St Ave
Coatesville, PA 19320-3461
Phone
(610) 384-2767
Fax
(484) 657-7578
NPI assigned
Oct 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Tracey Melia
Title
Director
Phone
(610) 384-2767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

71 S 1St Ave
Coatesville, PA 19320-3461

Mailing address

71 S 1St Ave
Coatesville, PA 19320-3461
Phone (610) 384-2767

Other names 1

  • CCABVI Chester County Association for the Blind and Visually Impaired Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241219001892 PA Part B Supplier - Clinic/Group Practice 6507393303 Receives reassigned benefits from 1 practitioner
Practice locations: Coatesville, PA

National Provider Directory

National Provider Directory

Locations

71 S 1st Ave
Coatesville, PA 19320
Phone (610) 384-2767

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1669293189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 S 1ST AVE",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193203461",
            "telephone_number": "610-384-2767",
            "fax_number": "484-657-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 S 1ST AVE",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193203461",
            "telephone_number": "610-384-2767",
            "fax_number": "484-657-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNA ASSOCIATION FOR THE BLIND CHESTER COUNTY BRANCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "MELIA",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-384-2767"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCABVI Chester County Association for the Blind and Visually Impaired",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coatesville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.