NPIMap

Organization Active NPI

Pennsylvania State University

  • In Home Supportive Care Agency
  • University Park, PA
National Provider Identifier
1851669667
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
SL010567 Issued in PA
Legal business name
PENNSYLVANIA STATE UNIVERSITY
Practice address
308 Ford BLDG
University Park, PA 16802-3003
Phone
(814) 865-3584
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Nimisha Muttiah
Title
Speech Language Pathologist
Phone
(419) 575-8034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X SL010567 PA Primary

Addresses

Primary practice location

308 Ford BLDG
University Park, PA 16802-3003

Mailing address

1051 Teaberry LN
D 206
State College, PA 16803-2986

National Provider Directory

National Provider Directory
Tax ID family
Pennsylvania State University2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

308 Ford Bldg
University Park, PA 16802
Phone (814) 863-2003

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1851669667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 TEABERRY LN",
            "address_2": "D 206",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 FORD BLDG",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "168023003",
            "telephone_number": "814-865-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "MUTTIAH",
        "authorized_official_first_name": "NIMISHA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "419-575-8034"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "SL010567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.