Organization Active NPI

Mary'S Shelter

  • Public Health or Welfare Agency
  • Reading, PA
National Provider Identifier
1689212698
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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

Updated by the provider on Dec 20, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.