NPIMap

Organization Active NPI

90 Cafferty Road Operating Company, LP

Doing business as Pediatric Specialty Care at Point Pleasant

  • Home Health Registered Nurse
  • Point Pleasant, PA
National Provider Identifier
1811293996
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
135770 Issued in PA
Legal business name
90 CAFFERTY ROAD OPERATING COMPANY, LP
Doing business as
Pediatric Specialty Care at Point Pleasant
Practice address
90 Cafferty Road
Point Pleasant, PA 18950-0217
Phone
(215) 297-5555
NPI assigned
Feb 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Kimberly Kenworthy
Title
Sr. Director Revenue Cycle MGMT
Phone
(716) 361-6636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X 135770 PA Primary

Addresses

Primary practice location

90 Cafferty Road
Point Pleasant, PA 18950-0217

Mailing address

500 Seneca St Ste 100
Buffalo, NY 14204-1963
Phone (716) 361-6636

Other identifiers 3

IdentifierTypeStateIssuer
136680OtherPAPENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE
135770OtherPAPENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE
135830OtherPAPENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE

Other names 1

  • Pediatric Specialty Care at Point Pleasant Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1811293996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SENECA ST STE 100",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142041963",
            "telephone_number": "716-361-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CAFFERTY ROAD",
            "city": "POINT PLEASANT",
            "state": "PA",
            "postal_code": "189500217",
            "telephone_number": "215-297-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "90 CAFFERTY ROAD OPERATING COMPANY, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "KENWORTHY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SR. DIRECTOR REVENUE CYCLE MGMT",
        "authorized_official_telephone_number": "716-361-6636"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "PA",
            "license": "135770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE",
            "identifier": "136680",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE",
            "identifier": "135770",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE",
            "identifier": "135830",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Specialty Care at Point Pleasant",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Point Pleasant, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.