Organization Active NPI

Phoenix Services, Inc.

  • Adult Day Care Clinic/Center
  • Bethlehem, PA
National Provider Identifier
1861739054
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
CER-00051230 Issued in PA
Legal business name
PHOENIX SERVICES, INC.
Practice address
83 S Commerce Way
Bethlehem, PA 18017-8934
Phone
(610) 717-5722
Fax
(610) 750-7167
NPI assigned
Jan 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Ms. Joyce A Gerber, MS, RN, BC
Title
Executive Director
Phone
(610) 717-5722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X CER-00051230 PA Primary

Addresses

Primary practice location

83 S Commerce Way
Bethlehem, PA 18017-8934

Mailing address

83 S Commerce Way
Bethlehem, PA 18017-8934
Phone (610) 717-5722

Other identifiers 1

IdentifierTypeStateIssuer
100003909OtherPAMASTER PROVIDER INDEX (MPI)

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Services 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.

Locations

83 S Commerce Way
Bethlehem, PA 18017
Phone (610) 717-5722

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1861739054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 S COMMERCE WAY",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178934",
            "telephone_number": "610-717-5722",
            "fax_number": "610-750-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 S COMMERCE WAY",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178934",
            "telephone_number": "610-717-5722",
            "fax_number": "610-750-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-717-5722",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RN, BC"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "PA",
            "license": "CER-00051230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASTER PROVIDER INDEX (MPI)",
            "identifier": "100003909",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.