MARY'S SHELTER (NPI# 1689212698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689212698 |
| Entity Type | Organization |
| Organization Name | MARY'S SHELTER |
| Practice Address |
615 Kenhorst Blvd Reading PA 19611-1717 |
| Practice Telephone | 4014808913 |
| Mailing Telephone | 4014808913 |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |
| Authorized Official Name | CHRISTINE FOLK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6106038010 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174200000X | Meals | Other Service Providers | ||
| N | 177F00000X | Lodging | Other Service Providers | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 251K00000X | Public Health or Welfare | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508356502 | Mary's Shelter | Residential Treatment Facility, Emotionally Disturbed Children | 18241 E 17th St, Santa Ana, CA 92705-2676 | 2018-05-15 |
| 1053934158 | Mary's Shelter | Residential Treatment Facility, Emotionally Disturbed Children | 18221 E 17th St, Santa Ana, CA 92705-2676 | 2020-05-22 |
| 1821529199 | Mary's Shelter | Residential Treatment Facility, Emotionally Disturbed Children | 18221 E 17th St, Santa Ana, CA 92705-2676 | 2017-03-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MARY'S SHELTER | 615 Kenhorst Blvd, Reading, PA 19611-1717 |
| Street Address |
615 KENHORST BLVD |
| City | READING |
| State | PA |
| Zip Code | 19611-1717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033645247 | Donna Connor | Nurse Practitioner | S. 6th Ave, Reading, PA 19611 | 2017-05-08 |
| 1215397286 | Brian Punnoose | Pharmacist | 301 S. 6th Avenue, West Reading, PA 19611 | 2016-03-03 |
| 1700273323 | Sheila Kalathil | Internal Medicine | 420 S 5th Avenue, West Reading, PA 19611 | 2015-04-21 |
| 1497174502 | Marianne Sharon | Counselor | 20-22 North 6th Ave., West Reading, PA 19611 | 2014-04-16 |
| 1699191718 | Meghan Ward | Nurse Practitioner | Bldg N Ground- 6th Avenue & Spruce Street, West Reading, PA 19611 | 2014-03-13 |
| 1821413378 | Elizabeth Rider-williams | Counselor | 6th Avenue & Spruce Street - K Bldg, West Reading, PA 19611 | 2014-02-20 |
| 1295050193 | John Oliver Mclain Jr. | Psychiatry & Neurology | S. 6th Ave and Spruce Street, West Reading, PA 19611 | 2010-04-02 |
| 1215252515 | Sara L Lee | Physician Assistant | S Sixth Ave and Spruce St, Thrmc Regional Cancer Center, West Reading, PA 19611 | 2010-03-30 |
| 1508012683 | Kathryn Mraz Marr | Physical Therapist | 629 Court St, West Reading, PA 19611 | 2008-08-08 |
| 1316116809 | Genesis House Reading | Clinic/Center | 697 Reading Avenue, West Reading, PA 19611 | 2008-02-28 |
| Find all providers in zip 19611 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770753964 | Town of Reading | Public Health or Welfare | 16 Lowell St, Reading, MA 01867-2601 | 2008-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233262 | Palmquest Inc. | Public Health or Welfare | 325 Sentry Parkway West Bldg, Suite 200, Blue Bell, PA 19422 | 2020-10-21 |
| 1700408390 | Kettle Creek Outfitters Ltd | Public Health or Welfare | 88 Quiet Oaks Campground Ln, Cross Fork, PA 17729-9430 | 2020-05-18 |
| 1801418306 | Gesiinger Medical Center | Public Health or Welfare | 15 Wesner Ln Fl 2, Danville, PA 17821-8023 | 2020-05-07 |
| 1427603943 | Temple Physicians Inc. | Public Health or Welfare | 2450 W Hunting Park Ave Fl 4, Philadelphia, PA 19129-1302 | 2019-08-02 |
| 1265085864 | Access Dentistry, LLC | Public Health or Welfare | 6760 Market St, Upper Darby, PA 19082-2449 | 2019-07-23 |
| 1982164323 | United Community Health Network LLC | Public Health or Welfare | 7804 Montgomery Ave Ste 6, Elkins Park, PA 19027-2649 | 2019-03-21 |
| 1962988618 | Ryan Vass | Public Health or Welfare | 904 Twyckenham Rd, Media, PA 19063-1636 | 2018-07-16 |
| 1902312275 | County of Allegheny | Public Health or Welfare | Department of Human Services Area Agency On Aging, 2100 Wharton Str., 2nd Floor, Pittsburgh, PA 15203-1942 | 2017-12-21 |
| 1679085443 | Warwick Family Based Program Inc | Public Health or Welfare | 1001 Nor Bath Blvd, Northampton, PA 18067-8909 | 2017-11-01 |
| 1013444033 | Loving Care Center, Inc | Public Health or Welfare | 1918 Paul St, Farrell, PA 16121-1324 | 2017-05-22 |
| 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.