NPIMap

Organization Active NPI

Vista Adult Services Organization

  • Developmentally Disabled Services Day Training Agency
  • Hershey, PA
National Provider Identifier
1952726390
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
VISTA ADULT SERVICES ORGANIZATION
Practice address
24 Northeast Dr
Hershey, PA 17033-2732
Phone
(717) 835-1115
NPI assigned
Feb 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
James Bouder
Title
Chief Operating Officer
Phone
(717) 583-5102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

24 Northeast Dr
Hershey, PA 17033-2732

Mailing address

24 Northeast Dr
Hershey, PA 17033-2732
Phone (717) 835-1115

Other identifiers 1

IdentifierTypeStateIssuer
0MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Adult Residential Services3 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.

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1952726390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 NORTHEAST DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332732",
            "telephone_number": "717-835-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 NORTHEAST DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332732",
            "telephone_number": "717-835-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA ADULT SERVICES ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "BOUDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "717-583-5102"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.