Organization Active NPI

Concordia Telecaregivers Dba Concordia Private Care

  • In Home Supportive Care Agency
  • Cabot, PA
National Provider Identifier
1689000333
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CONCORDIA TELECAREGIVERS DBA CONCORDIA PRIVATE CARE
Practice address
613 N Pike Rd
Suite a
Cabot, PA 16023-2215
Phone
(724) 352-2883
NPI assigned
Sep 25, 2013
Last updated
Mar 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Mr. Martin J Trettel, MBA
Title
President/Ceo
Phone
(724) 352-2883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

613 N Pike Rd
Suite a
Cabot, PA 16023-2215

Mailing address

613 N Pike Rd
Suite a
Cabot, PA 16023-2215
Phone (724) 352-2883

National Provider Directory

National Provider Directory

Locations

613 N Pike Rd
Ste A
Cabot, PA 16023
Phone (724) 352-2883

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1689000333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 N PIKE RD",
            "address_2": "SUITE A",
            "city": "CABOT",
            "state": "PA",
            "postal_code": "160232215",
            "telephone_number": "724-352-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 N PIKE RD",
            "address_2": "SUITE A",
            "city": "CABOT",
            "state": "PA",
            "postal_code": "160232215",
            "telephone_number": "724-352-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA TELECAREGIVERS DBA CONCORDIA PRIVATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "TRETTEL",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "724-352-2883",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.