NPIMap

Organization Active NPI

Prostat, Inc.

  • Home Health Agency
  • Reading, PA
National Provider Identifier
1952625733
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROSTAT, INC.
Practice address
19601 Bernville Rd
Reading, PA 19601-1113
Phone
(610) 736-9000
Fax
(610) 736-9006
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Mr. David Eugene Shelly
Title
Coo
Phone
(610) 736-9000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X 13773601 PA

Addresses

Primary practice location

19601 Bernville Rd
Reading, PA 19601-1113

Mailing address

1901 Bernville Rd.
Reading, PA 19601-1113
Phone (610) 736-9000

Other identifiers 3

IdentifierTypeStateIssuer
1024232050001MedicaidPA
1024232050003MedicaidPA
1024232050002MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Prostat Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1901 Bernville Rd
Reading, PA 19601
Phone (610) 595-2255

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1952625733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 BERNVILLE RD.",
            "city": "READING",
            "state": "PA",
            "postal_code": "196011113",
            "telephone_number": "610-736-9000",
            "fax_number": "610-736-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19601 BERNVILLE RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196011113",
            "telephone_number": "610-736-9000",
            "fax_number": "610-736-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTAT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "SHELLY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "610-736-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "13773601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024232050001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024232050003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024232050002",
            "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 Oct 11, 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.