Active NPI
Mary'S Shelter
- Public Health or Welfare Agency
- Reading, PA
National Provider Identifier
1689212698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- MARY'S SHELTER
- Practice address
- 615 Kenhorst Blvd
Reading, PA 19611-1717 - Phone
- (401) 480-8913
- NPI assigned
- Dec 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine Folk, RN
- Title
- Executive Director
- Phone
- (610) 603-8010
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Lodging Provider | 177F00000X | |||
| Public Health or Welfare Agency | 251K00000X | Primary | ||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
615 Kenhorst Blvd
Reading, PA 19611-1717
Mailing address
615 Kenhorst Blvd
Reading, PA 19611-1717
Phone (401) 480-8913
National Provider Directory
National Provider DirectoryLocations
615 Kenhorst Blvd
Reading, PA 19611
Phone (401) 480-8913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576800000000",
"number": "1689212698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 KENHORST BLVD",
"city": "READING",
"state": "PA",
"postal_code": "196111717",
"telephone_number": "401-480-8913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 KENHORST BLVD",
"city": "READING",
"state": "PA",
"postal_code": "196111717",
"telephone_number": "401-480-8913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY'S SHELTER",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-20",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A",
"authorized_official_last_name": "FOLK",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "610-603-8010",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.