NPIMap

Organization Active NPI

Reliant Praxis Holdings, LLC

Doing business as Praxis Alzheimer's Facility

  • Alzheimer Center (Dementia Center)
  • Easton, PA
National Provider Identifier
1902164577
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
RELIANT PRAXIS HOLDINGS, LLC
Doing business as
Praxis Alzheimer's Facility
Practice address
500 Washington St
Easton, PA 18042-4434
Phone
(610) 253-3573
NPI assigned
May 2, 2012
Last updated
May 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Marc Myzal
Title
Coo
Phone
(215) 558-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X Primary

Addresses

Primary practice location

500 Washington St
Easton, PA 18042-4434

Mailing address

3601 Island Ave
Philadelphia, PA 19153-3228
Phone (215) 558-3700

Other names 1

  • Praxis Alzheimer's Facility Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1902164577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 ISLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191533228",
            "telephone_number": "215-558-3700",
            "fax_number": "215-558-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WASHINGTON ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180424434",
            "telephone_number": "610-253-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT PRAXIS HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "MYZAL",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "215-558-3700"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Praxis Alzheimer's Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.