LIFESPAN FAMILY SERVICES OF PA (NPI# 1508368440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508368440 |
| Entity Type | Organization |
| Organization Name | LIFESPAN FAMILY SERVICES OF PA |
| Practice Address |
203 Lane Ave Punxsutawney PA 15767-2118 |
| Practice Telephone | 8149384408 |
| Practice Fax Number | 8146901850 |
| Mailing Telephone | 8149384408 |
| Mailing Fax Number | 8146901850 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |
| Authorized Official Name | MR. PATRICK A. SHEA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8149384408 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 441380 | PA | Agencies |
| Street Address |
203 LANE AVE |
| City | PUNXSUTAWNEY |
| State | PA |
| Zip Code | 15767-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396709630 | Gaspar A Santos | General Practice | 203 Lane Ave, Punxsutawney, PA 15767-2118 | 2006-04-13 |
| 1790158079 | George Carlson | Social Worker | 203 Lane Ave, Punxsutawney, PA 15767-2118 | 2015-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754765 | Bearing Hope LLC | Counselor | 103 N Gilpin Street, Suite 314, Punxsutawney, PA 15767 | 2020-03-04 |
| 1679947378 | George Carlson | Health Maintenance Organization | 6068 Route 119, Punxsutawney, PA 15767 | 2015-11-18 |
| 1104211515 | Danielle Marie Nelson | Counselor | 200 Prushnok Drive Suite #103, Punxsutawney, PA 15767 | 2015-04-02 |
| 1124413539 | Amanda Marie Rowland | Counselor | 200 Prushnok Drive, Suite #103, Punxsutawney, PA 15767 | 2015-04-02 |
| 1821492083 | Collin Ross Nordby | Counselor | 200 Prushnok Drive, Suite 103, Punxsutawney, PA 15767 | 2014-10-17 |
| 1245545813 | Maureen Murphy Ginsburg | Physical Medicine & Rehabilitation | 551 W Mahoning St, Punxsutawney, PA 15767 | 2010-08-08 |
| 1932384138 | Donald M. Pallone | Nurse Practitioner | 531 North Main Street, Punxsutawney, PA 15767 | 2008-01-07 |
| 1952521106 | Anita Irene Baker | Physical Therapist | 217 Mcgee Lane, Punxsutawney, PA 15767 | 2007-04-30 |
| 1639290091 | Community Guidance Center | Clinic/Center | 200 Prushnok Drive - Lever Street, Suite 103, Punxsutawney, PA 15767 | 2007-04-03 |
| 1487602983 | Mulberry Square Elder Care and Rehabilitation Center LLC | Skilled Nursing Facility | 411 1/2 West Mahoning Street, Punxsutawney, PA 15767 | 2006-05-05 |
| Find all providers in zip 15767 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013418995 | Heart for Change Children and Family Services, LLC | Foster Care Agency | 325 N Duke St, Lancaster, PA 17602-4915 | 2018-02-26 |
| 1285051516 | Fox Chase Adult Day Care Inc. | Foster Care Agency | 7770 Dungan Rd, Unit 1, Philadelphia, PA 19111-2700 | 2014-03-25 |
| 1396096079 | Families United Network, Inc. | Foster Care Agency | 276 Ashler Manor Dr, Pennsdale, PA 17756-6865 | 2012-09-21 |
| 1679882633 | Family Care for Children and Youth, Inc. | Foster Care Agency | 25 Belford Blvd, Milton, PA 17847-9701 | 2010-09-24 |
| 1407178742 | Prospectus Associates, Inc. | Foster Care Agency | 840 William Ln, Reading, PA 19604-1551 | 2010-02-26 |
| 1073757779 | Women's Christian Alliance | Foster Care Agency | 1722-42 Cecil B. Moore Avenue, Philadelphia, PA 19121-3405 | 2009-04-24 |
| 1376789214 | Thomas Organization, LLC | Foster Care Agency | 302 Seneca Street, Seneca Centre 2nd Floor, Oil City, PA 16301 | 2008-12-24 |
| 1881849032 | Kidspeace National Centers Inc | Foster Care Agency | 534 3rd Ave, Duncansville, PA 16635-1414 | 2008-12-01 |
| 1134374382 | Kidspeace National Centers Inc | Foster Care Agency | 505 Penn St Ste 301, Reading, PA 19601-3473 | 2008-12-01 |
| 1447405691 | Kidspeace National Centers Inc | Foster Care Agency | 1300 Horizon Dr Ste 102, Chalfont, PA 18914-3970 | 2008-12-01 |
| Find all providers with the same taxonomy | ||||
| City | PUNXSUTAWNEY |
| Zip Code | 15767 |
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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.