NPIMap

Organization Active NPI

County of Wayne

  • Case Manager/Care Coordinator
  • Honesdale, PA
National Provider Identifier
1760520779
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
COUNTY OF WAYNE
Practice address
648 Park St
Suite a
Honesdale, PA 18431-1446
Phone
(570) 253-9200
NPI assigned
Feb 2, 2007
Organization subpart
Yes
Parent organization
WAYNE COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Margaret Ennis
Title
MHMR Administrator
Phone
(570) 253-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

648 Park St
Suite a
Honesdale, PA 18431-1446

Mailing address

648 Park St
Suite a
Honesdale, PA 18431-1446
Phone (570) 253-9200

Other identifiers 1

IdentifierTypeStateIssuer
0017310820005MedicaidPA

Other names 1

  • Wayne County MHMR Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wayne County Office of MHMR7 organizations share this tax ID, including this one
Part of
Wayne County Office of MHMR

Other organizations with this tax ID 6

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

Locations

648 Park St
Ste A
Honesdale, PA 18431
Phone (570) 253-9200

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1760520779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 PARK ST",
            "address_2": "SUITE A",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311446",
            "telephone_number": "570-253-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 PARK ST",
            "address_2": "SUITE A",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311446",
            "telephone_number": "570-253-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WAYNE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAYNE COUNTY",
        "enumeration_date": "2007-02-02",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "ENNIS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "MHMR ADMINISTRATOR",
        "authorized_official_telephone_number": "570-253-9200"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017310820005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne County MHMR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honesdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.