Organization Active NPI

Avenues

  • Developmentally Disabled Services Day Training Agency
  • Pottsville, PA
National Provider Identifier
1861556839
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
AVENUES
Practice address
2 Park St
Pottsville, PA 17901-3827
Phone
(570) 622-7920
Fax
(570) 622-9271
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Mr. Peter J Keitsock
Title
Executive Director
Phone
(570) 622-7920

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Adult Day Care Clinic/Center 261QA0600X

Addresses

Primary practice location

2 Park St
Pottsville, PA 17901-3827

Mailing address

2 Park St
Pottsville, PA 17901-3827
Phone (570) 622-7920

National Provider Directory

National Provider Directory

Locations

2 Park St
Pottsville, PA 17901
Phone (570) 622-7920

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1861556839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARK ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013827",
            "telephone_number": "570-622-7920",
            "fax_number": "570-622-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARK ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013827",
            "telephone_number": "570-622-7920",
            "fax_number": "570-622-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "KEITSOCK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-622-7920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

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