NPIMap

Organization Active NPI

Carelink Community Support Services

  • Community/Behavioral Health Agency
  • Media, PA
National Provider Identifier
1679948129
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
195020 Issued in PA
Legal business name
CARELINK COMMUNITY SUPPORT SERVICES
Practice address
437 W Jefferson St
Media, PA 19063-3605
Phone
(610) 566-4997
Fax
(610) 566-4107
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Authorized official

Name
Gary Woomer
Title
Ceo
Phone
(610) 874-1119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 195020 PA Primary

Addresses

Primary practice location

437 W Jefferson St
Media, PA 19063-3605

Mailing address

1510 Chester Pike
Suite 600
Eddystone, PA 19022-1375
Phone (610) 874-1119

National Provider Directory

National Provider Directory
Tax ID family
Carelink Community Support Services39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1679948129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 CHESTER PIKE",
            "address_2": "SUITE 600",
            "city": "EDDYSTONE",
            "state": "PA",
            "postal_code": "190221375",
            "telephone_number": "610-874-1119",
            "fax_number": "610-872-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 W JEFFERSON ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633605",
            "telephone_number": "610-566-4997",
            "fax_number": "610-566-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARELINK COMMUNITY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "WOOMER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-874-1119"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "195020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.