NPIMap

Organization Active NPI

Devereux Foundation

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Tobyhanna, PA
National Provider Identifier
1760955892
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
DEVEREUX FOUNDATION
Practice address
3177 Evergreen Cir
Tobyhanna, PA 18466-8293
Phone
(570) 839-6151
Fax
(570) 676-4586
NPI assigned
Jan 11, 2019
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Diane Howell
Title
Director of Finance
Phone
(570) 839-6151

Corporate family (same tax ID) 24

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

National Provider Directory

National Provider Directory
Tax ID family
Devereux Florida (331 organizations share this tax ID)

Locations

1547 Mill Creek Rd
Newfoundland, PA 18445
Phone (570) 676-4229

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3177 Evergreen Cir
Tobyhanna, PA 18466-8293

Mailing address

1547 Mill Creek Rd
Newfoundland, PA 18445-5239
Phone (570) 839-6151

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 11, 2019.

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1760955892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 MILL CREEK RD",
            "city": "NEWFOUNDLAND",
            "state": "PA",
            "postal_code": "184455239",
            "telephone_number": "570-839-6151",
            "fax_number": "570-676-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3177 EVERGREEN CIR",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184668293",
            "telephone_number": "570-839-6151",
            "fax_number": "570-676-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVEREUX FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "570-839-6151"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tobyhanna, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.