Organization Active NPI

Access Direct Support Coordination Inc.

  • Case Management Agency
  • Richboro, PA
National Provider Identifier
1740713056
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ACCESS DIRECT SUPPORT COORDINATION INC.
Practice address
696 2ND Street Pike
Suite 302
Richboro, PA 18954-1068
Phone
(267) 800-9800
Fax
(215) 645-5114
NPI assigned
Apr 4, 2017
Last updated
Apr 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Alla Lushchyk
Title
President
Phone
(215) 512-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

696 2ND Street Pike
Suite 302
Richboro, PA 18954-1068

Mailing address

696 2ND Street Pike
Suite 302
Richboro, PA 18954-1068
Phone (267) 800-9800

Other identifiers 1

IdentifierTypeStateIssuer
1031084950002MedicaidPA

National Provider Directory

National Provider Directory

Locations

696 2nd Street Pike
Ste 302
Richboro, PA 18954
Phone (267) 800-9800

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1740713056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 2ND STREET PIKE",
            "address_2": "SUITE 302",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541068",
            "telephone_number": "267-800-9800",
            "fax_number": "215-645-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 2ND STREET PIKE",
            "address_2": "SUITE 302",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541068",
            "telephone_number": "267-800-9800",
            "fax_number": "215-645-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS DIRECT SUPPORT COORDINATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "LUSHCHYK",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-512-9400"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031084950002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.