Organization Active NPI

Landis HCBS

  • Adult Day Care Clinic/Center
  • Lititz, PA
National Provider Identifier
1750945952
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
LANDIS HCBS
Practice address
1001 E Oregon Rd
Lititz, PA 17543-9205
Phone
(717) 581-3920
NPI assigned
Apr 24, 2019
Organization subpart
Yes
Parent organization
LANDIS HCBS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Evon L Bergey, LCSW
Title
Executive Director, Landis HCBS
Phone
(717) 874-8260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1001 E Oregon Rd
Lititz, PA 17543-9205

Mailing address

1001 E Oregon Rd
Lititz, PA 17543-9205
Phone (717) 581-3920

Other identifiers 1

IdentifierTypeStateIssuer
103581316-0001MedicaidPA

Other names 1

  • Landis Adult Day Services East Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Landis HCBS3 organizations share this tax ID, including this one
Part of
Landis HCBS

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1750945952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E OREGON RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439205",
            "telephone_number": "717-581-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E OREGON RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439205",
            "telephone_number": "717-581-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDIS HCBS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANDIS HCBS, LLC",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "BERGEY",
        "authorized_official_first_name": "EVON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, LANDIS HCBS",
        "authorized_official_telephone_number": "717-874-8260",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103581316-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landis Adult Day Services East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lititz, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.