Forever Yours Support Coordination Agency

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FOREVER YOURS SUPPORT COORDINATION AGENCY

Practice address

1390 Industrial Blvd
Suite 4
Southampton, PA 18966-4034

Phone

(267) 538-8610

NPI assigned

Dec 7, 2015

Last updated

Dec 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Gorberg

Title

Owner

Phone

(267) 538-8610

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1952776676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 INDUSTRIAL BLVD",
            "address_2": "SUITE 4",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664034",
            "telephone_number": "267-538-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 INDUSTRIAL BLVD",
            "address_2": "SUITE 4",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664034",
            "telephone_number": "267-538-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER YOURS SUPPORT COORDINATION AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "GORBERG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-538-8610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wendy L. Forman, M.D.
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• Charles Leo Fox, PHYSICAL THERAPIST
• Francis Oko Amarteifio MD PC
• Neal L Freedman, DDS

• Case Management Agency in Southampton, PA
• Providers in Southampton, PA by specialty
• Case Management Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.