TIOGA COUNTY DEPT OF HUMAN SERVICES (NPI# 1558486571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558486571 |
| Entity Type | Organization |
| Organization Name | TIOGA COUNTY DEPT OF HUMAN SERVICES |
| Practice Address |
1873 Shumway Hill Rd Wellsboro PA 16901-6840 |
| Practice Telephone | 5707245766 |
| Practice Fax Number | 5707246757 |
| Mailing Telephone | 5707245766 |
| Mailing Fax Number | 5707246757 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. SAMUEL GREENE (ADMINISTRATOR) |
| Authorized Official Telephone | 5707245766 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000000400036 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659591949 | Tioga County Dept of Human Services | Community/Behavioral Health | St James & Third Street, St James Complex Suite 103a, Mansfield, PA 16933 | 2007-04-27 |
| 1487779880 | Tioga County Dept of Human Services | Community/Behavioral Health | St. James & Third St., Mansfield, PA 16933 | 2007-03-21 |
| 1275658098 | Tioga County Dept of Human Services | Clinic/Center | 179 Main St., Osceola, PA 16942 | 2007-03-20 |
| 1215052915 | Tioga County Dept of Human Services | Clinic/Center | St. James Complex, St. James & Third St. Bldg A Suite 109, Mansfield, PA 16033 | 2007-03-20 |
| 1760507586 | Tioga County Dept of Human Services | Community/Behavioral Health | St. James Place Bldg. A, Mansfield, PA 16933 | 2007-03-20 |
| 1023230174 | Tioga County Dept of Human Services | Case Management | St James & Third Street, St James Complex Suite 103a, Mansfield, PA 16933 | 2007-05-02 |
| 1023238300 | Tioga County Dept of Human Services | Community/Behavioral Health | 167 Main Street, Osceola, PA 16942 | 2007-04-27 |
| 1922123439 | Tioga County Dept of Human Services | Case Management | 1873 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2007-03-21 |
| 1124143615 | Tioga County Dept of Human Services | Case Management | 1873 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2007-03-21 |
| 1689799181 | Tioga County Dept of Human Services | Clinic/Center | St. James Complex, St. James and Third St. Bldg A Suite 109, Mansfield, PA 16933 | 2007-03-21 |
| Street Address |
1873 SHUMWAY HILL RD |
| City | WELLSBORO |
| State | PA |
| Zip Code | 16901-6840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821144361 | Sandra J Brill | Nurse Practitioner | 1873 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2007-01-26 |
| 1942733175 | Tioga County Commissioners | Community/Behavioral Health | 1873 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2017-04-05 |
| 1568860161 | Buffalo Vamc | Clinic/Center | 1873 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2014-12-12 |
| 1366848996 | Crossroads Counseling, Inc. | Community/Behavioral Health | 1873 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2014-11-10 |
| 1578829255 | Concern Professional Services for Children, Youth, & Families | Clinic/Center | 1873 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2012-04-06 |
| 1457527640 | Tioga County Department of Human Services | Day Training, Developmentally Disabled Services | 1873 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2008-05-07 |
| 1649490624 | Tiogacounty Dept of Human Services | Case Management | 1873 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2007-05-01 |
| 1922123439 | Tioga County Dept of Human Services | Case Management | 1873 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2007-03-21 |
| 1124143615 | Tioga County Dept of Human Services | Case Management | 1873 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2007-03-21 |
| 1578688974 | Tioga County Dept of Human Services | Community/Behavioral Health | 1873 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964940 | Alyssa Lapp | Occupational Therapist | 32 Central Avenue, Wellsboro, PA 16901 | 2019-07-19 |
| 1437701190 | Kari Donnele Root | Occupational Therapist | 36 Central Avenue, Wellsboro, PA 16901 | 2019-07-12 |
| 1205377835 | Brett Long | Physical Therapy Assistant | 37 Central Avenue, Wellsboro, PA 16901 | 2017-03-15 |
| 1487072526 | Mary Caitlin Jones | Physical Therapist | 100 Plaza Ln, Wellsboro, PA 16901 | 2014-04-05 |
| 1144650607 | Amy Chalot | Occupational Therapy Assistant | 1883 Shumway Hill Road, Broad Acres Health and Rehabilitation Center, Wellsboro, PA 16901 | 2013-11-20 |
| 1780844209 | Upmc Wellsboro | Pathology | 32 36 Central Avenue, Pathology, Wellsboro, PA 16901 | 2008-06-10 |
| 1639369606 | Well Adjusted Chiropractic Center PC | Chiropractor | 82 East Avenue, Wellsboro, PA 16901 | 2007-07-26 |
| 1538362991 | John W Eaton | Dentist | 23 Water Street, Wellsboro, PA 16901 | 2007-06-06 |
| 1437210242 | James Michael Stewart | Technician/Technologist | 16 Pearl St, Wellsboro, PA 16901 | 2006-12-13 |
| 1508879560 | Edward Jeffrey Candela | Dentist | 16 Water St, Wellsboro, PA 16901 | 2006-08-14 |
| Find all providers in zip 16901 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245926 | Alejandro Cora IIi | Case Manager/Care Coordinator | 2310 Redwood Rd, York, PA 17408-3943 | 2020-11-02 |
| 1386250546 | Lindsay Margarida Stiem | Case Manager/Care Coordinator | 3600 Market St Fl 6, Philadelphia, PA 19104-2669 | 2020-09-22 |
| 1962018879 | Magaret Ann Booker | Case Manager/Care Coordinator | 229 Gans Hill School Rd, Smithfield, PA 15478-1327 | 2020-09-17 |
| 1285242297 | Theresa Walter | Case Manager/Care Coordinator | 1061 Livorno Dr, Oakdale, PA 15071-1795 | 2020-07-15 |
| 1023633872 | Raenita Janay Robinson | Case Manager/Care Coordinator | 3600 Market St # 6thf, Philadelphia, PA 19104-3284 | 2020-06-08 |
| 1558990069 | Human Coalition | Case Manager/Care Coordinator | 101 Drake Rd Ste A, Pittsburgh, PA 15241-1556 | 2020-04-06 |
| 1124656467 | Desiree Driver | Case Manager/Care Coordinator | 2417 Welsh Rd Ste 209, Philadelphia, PA 19114-2211 | 2020-03-31 |
| 1225662117 | Wecarefirst Support Coordination LLC | Case Manager/Care Coordinator | 108 Henderson Ave, Norwood, PA 19074-1811 | 2020-02-28 |
| 1902439185 | Jenna M Dannunzio | Case Manager/Care Coordinator | 600 N. Olive Street, Media, PA 19063-2418 | 2020-02-17 |
| 1154961571 | Corina Jones | Case Manager/Care Coordinator | 2001 Alsace Rd, Reading, PA 19604-1442 | 2020-01-14 |
| Find all providers with the same taxonomy | ||||
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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.