Excentia Human Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CER00075435 Issued in PA

Legal business name

EXCENTIA HUMAN SERVICES

Practice address

1810 Rohrerstown Rd
Lancaster, PA 17601-2322

Phone

(717) 519-6740

Fax

(717) 519-6746

NPI assigned

May 20, 2016

Organization subpart

No

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

Authorized official

Name

Christopher Shaak

Title

Ceo

Phone

(717) 519-6740

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Excentia Human Services Doing business as

Tax ID family

Excentia Human Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Excentia Human Services

  • Speech-Language Pathologist
  • Lancaster, PA
  • NPI 1801488564
  NPD tax ID
• The Pai Corporation

  • Speech-Language Pathologist
  • Lancaster, PA
  • NPI 1043856669
  NPD tax ID
• The Pai Corporation

  • Pediatric Physical Therapist
  • Lancaster, PA
  • NPI 1366883894
  NPD tax ID

Locations

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1801243712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 ROHRERSTOWN RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012322",
            "telephone_number": "717-519-6740",
            "fax_number": "717-519-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 ROHRERSTOWN RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012322",
            "telephone_number": "717-519-6740",
            "fax_number": "717-519-6746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1813 Rohrerstown Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012321",
            "country_code": "US",
            "telephone_number": "717-519-6740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXCENTIA HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "SHAAK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-519-6740"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "CER00075435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000017260108",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excentia Human Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Excentia Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.