Perry Human Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

501025 Issued in PA

Legal business name

PERRY HUMAN SERVICES

Practice address

8391 Spring Road
New Bloomfield, PA 17068

Phone

(717) 582-8703

Fax

(717) 582-3694

NPI assigned

Mar 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Glenys J. Dilissio, CAC

Title

Executive Director

Phone

(717) 582-8703

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740319326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436",
            "city": "NEW BLOOMFIELD",
            "state": "PA",
            "postal_code": "170680436",
            "telephone_number": "717-582-8703",
            "fax_number": "717-582-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8391 SPRING ROAD",
            "city": "NEW BLOOMFIELD",
            "state": "PA",
            "postal_code": "17068",
            "telephone_number": "717-582-8703",
            "fax_number": "717-582-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DILISSIO",
        "authorized_official_first_name": "GLENYS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "717-582-8703",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "501025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG ALCOHOL OUTPATIENT",
            "identifier": "501025",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012162940002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy A Mulhollem, D.C.
• New Bloomfield EMS
• Op New Bloomfield, LLC (The Manor at Perry Village)
• Jennifer Parry
• Perry County Area Agency on Aging
• Perry Pediatrics, P.C.
• Perry Village Facility Operations, LLC (The Manor at Perry Village)
• Premier at Perry Village for Nursing and Rehabilitation LLC
• Kinsey Lynn Robinson
• Tammy Lynne Rumbaugh, LPC

• Community/Behavioral Health Agency in New Bloomfield, PA
• Providers in New Bloomfield, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.