Organization Active NPI

Joanne Stiteler Senior Care, LLC

  • Community/Behavioral Health Agency
  • Springfield, PA
National Provider Identifier
1851762181
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CW018705 Issued in PA
Legal business name
JOANNE STITELER SENIOR CARE, LLC
Practice address
931 North Ave
Springfield, PA 19064-3721
Phone
(484) 477-5425
NPI assigned
Oct 13, 2015
Last updated
Oct 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Joanne StitelerNPI 1467823872
Title
Clinical Social Worker
Phone
(484) 477-5425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CW018705 PA Primary

Addresses

Primary practice location

931 North Ave
Springfield, PA 19064-3721

Mailing address

931 North Ave
Springfield, PA 19064-3721
Phone (484) 477-5425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151109000414 PA Part B Supplier - Clinic/Group Practice 2668782301 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1851762181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 NORTH AVE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643721",
            "telephone_number": "484-477-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 NORTH AVE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643721",
            "telephone_number": "484-477-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE STITELER SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "STITELER",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "484-477-5425"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "CW018705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.