CENTER FOR INDEPENDENT LIVING OF CENTRAL PA (NPI# 1407995137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407995137 |
Entity Type | Organization |
Organization Name | CENTER FOR INDEPENDENT LIVING OF CENTRAL PA |
Practice Address |
207 House Ave Suite 107 Camp Hill PA 17011-2308 |
Practice Telephone | 7177311900 |
Mailing Telephone | 7177311900 |
Enumeration Date | 2007-02-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | THEOTIS W. BRADDY (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 7177311900 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251V00000X | Voluntary or Charitable | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 100003963-0010 | 05 | |
PA | 100003963-0012 | 05 | |
PA | 100003963-0005 | 05 | |
PA | 100003963-0008 | 05 |
Street Address |
207 HOUSE AVE SUITE 107 |
City | CAMP HILL |
State | PA |
Zip Code | 17011-2308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881653210 | Jasna Pojbic Battin | Internal Medicine | 207 House Ave, Ste 101, Camp Hill, PA 17011 | 2006-03-23 |
1124484894 | Home Care for Living Well, LLC | Home Health | 207 House Ave, Suite 107 - Room 1, Camp Hill, PA 17011-2308 | 2016-01-11 |
1518337252 | Living Well Your Way | Case Management | 207 House Ave, Suite 7, Camp Hill, PA 17011-2308 | 2015-10-06 |
1477991198 | Pinnacle Health Medical Services | Internal Medicine | 207 House Ave, Suite 101, Camp Hill, PA 17011-2308 | 2013-06-05 |
1235490103 | Blue Mountain Community Services | Case Management | 207 House Ave, Suite 107, Room 27, Camp Hill, PA 17011-2308 | 2012-06-06 |
1508122326 | Hearing Solutions of Central Pa LLC | Hearing Aid Equipment | 207 House Ave, Ste 100b, Camp Hill, PA 17011-2308 | 2012-04-05 |
1104199710 | Pinnacle Health Medical Group Inc | Physician Assistant | 207 House Ave, Suite101, Camp Hill, PA 17011-2308 | 2012-02-13 |
1346494804 | Heritage Medical Group, LLP | Physician Assistant | 207 House Ave, Suite 101, Camp Hill, PA 17011-2308 | 2008-11-11 |
1710939483 | Sonus-usa, Inc. | Audiologist-Hearing Aid Fitter | 207 House Ave, Ste 100 B, Camp Hill, PA 17011-2308 | 2006-05-17 |
1417908716 | Jessica M Kiehl | Audiologist | 207 House Ave, Suite 100 B, Camp Hill, PA 17011-2308 | 2006-05-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790241628 | Harrisburg Home Care | Home Health | 1713 Hammel Road, R2, Harrisburg, PA 17011 | 2019-02-15 |
1427540269 | Eldercare Solutions LLC | Adult Companion | 1926 Market Street, Camp Hill, PA 17011 | 2018-06-06 |
1538680244 | Edward Joseph Hilton | Dentist | 3412 Trindle Road, Camp Hill, PA 17011 | 2017-07-03 |
1639609696 | Alicia Taylor Brustein | Physician Assistant | 425 North 21st Street, Suite 405, Camp Hill, PA 17011 | 2017-06-13 |
1285166843 | Betsy Earnest, Lpc, LLC | Counselor | 1509 Cedar Cliff Drive, Suite 4, Camp Hill, PA 17011 | 2017-03-31 |
1962852368 | Angela Antonia Debo | Family Medicine | 3025 Market Street, Entrance B, Camp Hill, PA 17011 | 2016-06-16 |
1033567839 | Timothy Zack Day | Physician Assistant | 897 Poplar Rd, Camp Hill, PA 17011 | 2016-06-02 |
1962864892 | Tracy Byra | Registered Nurse | 15 Scarsdale Drive, Camp Hill, PA 17011 | 2016-03-21 |
1245634138 | Charlotte Diane Hain | Psychologist | 781 Poplar Church Road, Camp Hill, PA 17011 | 2014-10-21 |
1205276805 | Isaac S Chiang | Optometrist | South 32nd Street & Trindle Rd, Camp Hill, PA 17011 | 2013-06-27 |
Find all providers in zip 17011 |
Taxonomy Code | 251V00000X |
Grouping | Agencies |
Classification | Voluntary or Charitable |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144868340 | Sheep Inc Health Care Center | Voluntary or Charitable | 4561 Old William Penn Hwy, Monroeville, PA 15146-1713 | 2019-12-18 |
1568948149 | Gerald Kimmel Jr | Voluntary or Charitable | 56 E Lincoln Ave, Lititz, PA 17543-1123 | 2018-07-17 |
1497252795 | Valhalla Veterans Services | Voluntary or Charitable | 700 Electric St, Scranton, PA 18509-1902 | 2018-04-12 |
1194267906 | Otinda and Associates Homecares | Voluntary or Charitable | 455 S Nulton Ave, Easton, PA 18045-3767 | 2016-11-09 |
1134676869 | Helms for Living, Inc | Voluntary or Charitable | 1808d Merlot Dr, Unit D, Easton, PA 18045-5432 | 2016-09-11 |
1508221532 | East Stroudsburg | Voluntary or Charitable | 1806 W Main St, Apt 201, Stroudsburg, PA 18360-1028 | 2015-12-17 |
1316316854 | Hairs 2 U Wig Bank | Voluntary or Charitable | 764 S 4th St, Philadelphia, PA 19147-3121 | 2015-09-15 |
1023411022 | Joanne Farley | Voluntary or Charitable | 105 Waverly Cir, Clarks Summit, PA 18411-8887 | 2014-10-03 |
1255732657 | Thomas Supportive Services Inc. | Voluntary or Charitable | 1341 Sandy Hill Rd, Norristown, PA 19401-4155 | 2014-09-04 |
1053723718 | Handmaiden Ministries | Voluntary or Charitable | 690 Mansion St, Bristol, PA 19007-3844 | 2014-05-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.