NHS Stevens Center
Organization Active NPI Community/Behavioral Health Agency · Carlisle, PA
NPI 1740404359 · NPPES record last updated Feb 20, 2024
Key facts
- NPI
- 1740404359
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- NHS STEVENS CENTER
- Practice address
- 33 State Ave
Carlisle, PA 17013-4432 - Phone
- (215) 836-3131
- Fax
- (215) 273-5975
- NPI assigned
- Apr 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Norman Tilson
- Title
- Director of Business Operations
- Phone
- (215) 836-3131
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 12
Practitioners 8
-
Eguono Eduvie, D.O.
-
Maria B Herrada, DO
-
Jyothi P Tadavarthy, M.D.
-
Rahat Taswir, MD
-
Faraz Ahmed Tyeb, D.O.
-
Ademola Bello, M.D.
-
Luciano Anthony Picchio, M.D.
-
Maurice Ralph Picciotto, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041008000659 | PA | Part B Supplier - Clinic/Group Practice | 0648239152 |
Receives reassigned benefits from 8 practitioners 3 other NPIs on this enrollment Practice locations: Harrisburg, PA; Carlisle, PA |
National Provider Directory
- Tax ID family
- NHS Stevens Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
33 State Ave
Carlisle, PA 17013-4432
Mailing address
4251 Crums Mill Rd
Harrisburg, PA 17112-2824
Phone (215) 836-3131
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007592600019 | Medicaid | PA |
NPI Registry JSON
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708387200000",
"number": "1740404359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4251 CRUMS MILL RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171122824",
"telephone_number": "215-836-3131",
"fax_number": "215-273-5975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 STATE AVE",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170134432",
"telephone_number": "215-836-3131",
"fax_number": "215-273-5975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NHS STEVENS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-13",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A",
"authorized_official_last_name": "TILSON",
"authorized_official_first_name": "NORMAN",
"authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
"authorized_official_telephone_number": "215-836-3131",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007592600019",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlisle, PA
- NHS Stevens Center
- NHS Stevens Center
- NHS Stevens Center
- NHS Stevens Center
- NHS Stevens Center
- NHS Stevens Center
- Nicastro Chiropractic Clinic
- Matt Nicastro
- Christy Lynn Nieberding
- Caroline Grace Nieves
All providers in Carlisle, PA · Community/Behavioral Health Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.