Lily Pond Child Development Centers Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

LILY POND CHILD DEVELOPMENT CENTERS INC

Doing business as

Kids First Blair County

Practice address

2713 W Chestnut Ave
Altoona, PA 16601-1720

Phone

(814) 943-8177

Fax

(814) 949-2052

NPI assigned

Jun 24, 2008

Last updated

Jun 24, 2008By 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. Jacqueline Ann Clouser, M.S.

Title

Executive Director

Phone

(814) 943-8177

Specialties & licenses 1

Addresses

Other names 1

• Kids First Blair County Doing business as

Locations

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1760643613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 W CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166011720",
            "telephone_number": "814-943-8177",
            "fax_number": "814-949-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 W CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166011720",
            "telephone_number": "814-943-8177",
            "fax_number": "814-949-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY POND CHILD DEVELOPMENT CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "CLOUSER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-943-8177",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids First Blair County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Early Intervention Provider Agency in Altoona, PA
• Providers in Altoona, PA by specialty
• Early Intervention Provider Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.