NPIMap

Organization Active NPI

Diversified Family Services, Inc.

  • Community/Behavioral Health Agency
  • Hermitage, PA
National Provider Identifier
1891964193
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
422350 Issued in PA
Legal business name
DIVERSIFIED FAMILY SERVICES, INC.
Practice address
5454 E State St
Hermitage, PA 16148-9441
Phone
(724) 346-2123
Fax
(724) 346-0366
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Marilyn Klemens
Title
Executive Director
Phone
(724) 346-2123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 422350 PA Primary

Addresses

Primary practice location

5454 E State St
Hermitage, PA 16148-9441

Mailing address

PO Box 1027
5454 E State Street
Hermitage, PA 16148-0027
Phone (724) 346-2123

National Provider Directory

National Provider Directory

Locations

5454 E State St
Hermitage, PA 16148
Phone (724) 346-2123

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1891964193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "address_2": "5454 E STATE STREET",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161480027",
            "telephone_number": "724-346-2123",
            "fax_number": "724-346-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 E STATE ST",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161489441",
            "telephone_number": "724-346-2123",
            "fax_number": "724-346-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "KLEMENS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "724-346-2123"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "422350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.