NPIMap

Organization Active NPI

Board of Directors of the Rouse Estate

Doing business as Bridges of Rouse

  • Adult Day Care Clinic/Center
  • Warren, PA
National Provider Identifier
1962796029
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
BOARD OF DIRECTORS OF THE ROUSE ESTATE
Doing business as
Bridges of Rouse
Practice address
905 4TH Ave
Warren, PA 16365-1802
Phone
(814) 726-1116
NPI assigned
Jun 7, 2011
Last updated
Jun 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Mr. Jeffrey A Sedon
Title
Cfo
Phone
(814) 563-6421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

905 4TH Ave
Warren, PA 16365-1802

Mailing address

701 Rouse Ave
Youngsville, PA 16371-1605
Phone (814) 563-6421

Other names 1

  • Bridges of Rouse Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rouse Warren County Hom4 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

905 4th Ave
Warren, PA 16365
Phone (814) 723-3763

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1962796029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ROUSE AVE",
            "city": "YOUNGSVILLE",
            "state": "PA",
            "postal_code": "163711605",
            "telephone_number": "814-563-6421",
            "fax_number": "814-563-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 4TH AVE",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651802",
            "telephone_number": "814-726-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF DIRECTORS OF THE ROUSE ESTATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "SEDON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-563-6421",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridges of Rouse",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, PA

Sources for this page

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