Organization Active NPI

The Arc of Lackawanna County

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Scranton, PA
National Provider Identifier
1962547133
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
219600 Issued in PA
Legal business name
THE ARC OF LACKAWANNA COUNTY
Practice address
115 Meadow Ave
Scranton, PA 18505-2168
Phone
(570) 346-4010
Fax
(570) 346-8436
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Donald W Broderick
Title
Executive Director
Phone
(570) 346-4010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 220430 PA
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 219600 PA Primary

Addresses

Primary practice location

115 Meadow Ave
Scranton, PA 18505-2168

Mailing address

115 Meadow Ave
Scranton, PA 18505-2168
Phone (570) 346-4010

National Provider Directory

National Provider Directory

Locations

115 Meadow Ave
Scranton, PA 18505
Phone (570) 346-4010

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1962547133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MEADOW AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185052168",
            "telephone_number": "570-346-4010",
            "fax_number": "570-346-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MEADOW AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185052168",
            "telephone_number": "570-346-4010",
            "fax_number": "570-346-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF LACKAWANNA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BRODERICK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-346-4010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "PA",
            "license": "220430",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "219600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.