Supports Coordination of Northwest Pennsylvania, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SUPPORTS COORDINATION OF NORTHWEST PENNSYLVANIA, INC.

Practice address

2700 West 21St Street
Suite 24
Erie, PA 16506-6916

Phone

(814) 464-0593

Fax

(814) 874-5089

NPI assigned

Oct 29, 2012

Organization subpart

No

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

Authorized official

Name

Lori Foster

Title

Director

Phone

(814) 464-0593

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1730433855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W 21ST ST",
            "address_2": "SUITE 24",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062972",
            "telephone_number": "814-464-0593",
            "fax_number": "814-874-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WEST 21ST STREET",
            "address_2": "SUITE 24",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165066916",
            "telephone_number": "814-464-0593",
            "fax_number": "814-874-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTS COORDINATION OF NORTHWEST PENNSYLVANIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "814-464-0593"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Erie, PA
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• Case Management Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.