NPIMap

Organization Active NPI

Minsec Companies, LLC

  • Substance Abuse Rehabilitation Facility
  • Hazleton, PA
National Provider Identifier
1942506514
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
407056 Issued in PA
Legal business name
MINSEC COMPANIES, LLC
Practice address
145 W Broad St
Hazleton, PA 18201-6317
Phone
(570) 459-1748
Fax
(570) 489-1749
NPI assigned
Jan 31, 2011
Last updated
Jan 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Ms. Mary Rose Worthington, MS, CCBT,CCJP,CCDP
Title
Chief Operating Officer
Phone
(610) 892-9167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 407056 PA Primary

Addresses

Primary practice location

145 W Broad St
Hazleton, PA 18201-6317

Mailing address

101 N Providence Rd
Wallingford, PA 19086-6107
Phone (610) 892-9167

National Provider Directory

National Provider Directory
Tax ID family
Luzerne Treatment Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

101 N Providence Rd
Wallingford, PA 19086

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1942506514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N PROVIDENCE RD",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190866107",
            "telephone_number": "610-892-9167",
            "fax_number": "610-892-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016317",
            "telephone_number": "570-459-1748",
            "fax_number": "570-489-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINSEC COMPANIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "WORTHINGTON",
        "authorized_official_first_name": "MARY ROSE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "610-892-9167",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, CCBT,CCJP,CCDP"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": "407056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.