Eihab Human Services Pennsylvania, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EIHAB HUMAN SERVICES PENNSYLVANIA, INC.

Practice address

1200 Sr 92 S
Tunkhannock, PA 18657-5966

Phone

(570) 388-6155

Fax

(570) 388-2913

NPI assigned

Aug 14, 2014

Organization subpart

Yes

Parent organization

EIHAB HUMAN SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Fatma Abboud, MS

Title

Ceo

Phone

(718) 276-6101

Specialties & licenses 1

Addresses

Tax ID family

Eihab Human Services Pennsylvania Inc2 organizations share this tax ID, including this one

Part of

Eihab Human Services Inc

Other organizations with this tax ID 1

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

• Eihab Human Services Pennsylvania Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Moscow, PA
  • NPI 1255667242
  NPD tax ID

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1871992883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16818 S CONDUIT AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344806",
            "telephone_number": "718-276-6101",
            "fax_number": "718-276-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SR 92 S",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186575966",
            "telephone_number": "570-388-6155",
            "fax_number": "570-388-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EIHAB HUMAN SERVICES PENNSYLVANIA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EIHAB HUMAN SERVICES, INC.",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "ABBOUD",
        "authorized_official_first_name": "FATMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-276-6101",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lea Dougherty
• Amy Driscoll
• Diane Eastman, CNP
• Edward G. Zurad, MD PC
• Eihab Human Services
• Eihab Human Services, Inc.
• Embassy of Tunkhannock LLC
• Endless Smiles Dental Group, L.L.C.
• Family Prosthetic & Dental Implant Associates of Wyoming County, P.C.
• Michelle Christiana Fan, DO

• All providers in Tunkhannock, PA
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.