Organization Active NPI

Second Family Memory Care LLC

Doing business as Second Family Memory Care

  • Adult Day Care Clinic/Center
  • Wilkes Barre, PA
National Provider Identifier
1780359497
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SECOND FAMILY MEMORY CARE LLC
Doing business as
Second Family Memory Care
Practice address
89 S Washington St
Wilkes Barre, PA 18701-3033
Phone
(570) 285-4320
NPI assigned
Aug 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Authorized official

Name
Diane Cowman
Title
Director
Phone
(570) 285-4320

Specialties & licenses 1

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

Addresses

Primary practice location

89 S Washington St
Wilkes Barre, PA 18701-3033

Mailing address

89 S Washington St
Wilkes Barre, PA 18701-3033
Phone (570) 285-4320

Other names 1

  • Second Family Memory Care Doing business as

National Provider Directory

National Provider Directory

Locations

89 S Washington St
Wilkes Barre, PA 18701
Phone (570) 285-4320

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1780359497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 S WASHINGTON ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187013033",
            "telephone_number": "570-285-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 S WASHINGTON ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187013033",
            "telephone_number": "570-285-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND FAMILY MEMORY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "COWMAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "570-285-4320"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Second Family Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.