Provider of Co-Op Services

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

102276610 Issued in PA

Legal business name

PROVIDER OF CO-OP SERVICES

Practice address

1467 Hark a Way Rd
Chester Springs, PA 19425-2302

Phone

(610) 453-5005

NPI assigned

Jun 29, 2009

Organization subpart

No

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

Authorized official

Name

Cathryn Laurie SteinNPI 1447591763

Title

Owner

Phone

(610) 453-5005

Specialties & licenses 6

Addresses

Other identifiers 5

Practitioners 2

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

• Cathryn Laurie Stein

  • Case Manager/Care Coordinator
  • Chester Springs, PA
  • NPI 1447591763
  NPD (past) Authorized official
• Irene Groff

  • Community Health Worker
  • Chester Springs, PA
  • NPI 1194057547
  NPD (past)

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1679701684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 HARK A WAY RD",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194252302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 HARK A WAY RD",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194252302",
            "telephone_number": "610-453-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDER OF CO-OP SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "CATHRYN",
        "authorized_official_middle_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-453-5005"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN517919L",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "PA",
            "license": "102276610",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "PA",
            "license": "102276610",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "102276610",
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "PA",
            "license": "102276610",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSOLIDATED, BASE AND PERSON/FAMILY WAIVER",
            "identifier": "102276610",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102276610",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "102276610",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBRA, COMMCARE AND INDEPENDANCE WAIVER",
            "identifier": "102276610",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT AUTISM WAIVER",
            "identifier": "102276610",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pennsylvania CVS Pharmacy, L.L.C.
• Jason Petkevis, D.M.D.
• William David Pinkerton, DPT
• Chie-Eng Kristy Pitchford, R.PH.
• Catherine Poole, DPT
• Lily Pyle
• Marina Raban
• Rezvan Rafi, M.D.
• Julia Heather Ramanathan, MA, CCC-SLP
• Rachel Randazzo, LCSW

• Exclusive Provider Organization in Chester Springs, PA
• Providers in Chester Springs, PA by specialty
• Exclusive Provider Organization in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.