Organization Active NPI

Berks County Children and Youth Services

  • Nursing Care Agency
  • Reading, PA
National Provider Identifier
1902087869
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
BERKS COUNTY CHILDREN AND YOUTH SERVICES
Practice address
633 Court St
11TH Floor
Reading, PA 19601-4302
Phone
(610) 478-6700
Fax
(610) 478-4994
NPI assigned
Nov 20, 2007
Last updated
Nov 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Ms. Delores R Johnson
Title
Fiscal Operations Manager
Phone
(610) 478-6730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X PA Primary

Addresses

Primary practice location

633 Court St
11TH Floor
Reading, PA 19601-4302

Mailing address

633 Court St
11TH Floor
Reading, PA 19601-4302
Phone (610) 478-6700

Other identifiers 1

IdentifierTypeStateIssuer
1007581460011MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Medical Services Berks2 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

633 Court St
Fl 11
Reading, PA 19601
Phone (610) 478-6700

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1902087869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 COURT ST",
            "address_2": "11TH FLOOR",
            "city": "READING",
            "state": "PA",
            "postal_code": "196014302",
            "telephone_number": "610-478-6700",
            "fax_number": "610-478-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 COURT ST",
            "address_2": "11TH FLOOR",
            "city": "READING",
            "state": "PA",
            "postal_code": "196014302",
            "telephone_number": "610-478-6700",
            "fax_number": "610-478-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKS COUNTY CHILDREN AND YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DELORES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FISCAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "610-478-6730",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007581460011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.