Congreso de Latinos Unidos- Esfuerzo

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

100751904 Issued in PA

Legal business name

CONGRESO DE LATINOS UNIDOS- ESFUERZO

Practice address

216 W Somerset St
Esfuerzo Program
Philadelphia, PA 19133-3534

Phone

(215) 763-8870

Fax

(215) 223-2936

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Waleska Maldonado

Title

Chief Program Officer

Phone

(215) 763-8870

Specialties & licenses 1

Addresses

Tax ID family

Congreso de Latinos Unidos Inc2 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.

• Congreso de Latinos Unidos, Inc

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1578690863
  NPD tax ID

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1861531147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W SOMERSET ST",
            "address_2": "ESFUERZO PROGRAM",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191333534",
            "telephone_number": "215-763-8870",
            "fax_number": "215-223-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W SOMERSET ST",
            "address_2": "ESFUERZO PROGRAM",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191333534",
            "telephone_number": "215-763-8870",
            "fax_number": "215-223-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONGRESO DE LATINOS UNIDOS- ESFUERZO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "WALESKA",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "215-763-8870"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": "100751904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Conforti
• Elisabeth Congdon-Martin, MSW, LCSW
• Kyle Edward Congdon, MA, ATR-BC, LPC
• Jason Alexander Conger, M.D.
• Congregation of the Mission
• Congreso de Latinos Unidos, Inc
• Peter H Conicelli, CRNA
• Sina N Conicelli, CRNA
• Kathryn Coniglio, PHD
• Portia Conix, D.O.

• Case Management Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Case Management Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.