Provider Type Icon

ST. JOSEPH'S CENTER NPI 1053779561


NPI Information

NPI: 1053779561
Provider Name: ST. JOSEPH'S CENTER
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

CLIA Number: 39D2246008

Address:
2013 BOULEVARD AVE
SCRANTON, PA
ZIP 18509
Phone: (570) 963-1276
Get Directions

ST. JOSEPH'S CENTER is a nursing care and pediatric skilled nursing facility in Scranton, PA. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. ST. JOSEPH'S CENTER NPI is 1053779561. The provider is registered as an organization entity type.

The provider's business location address is:

2013 BOULEVARD AVE
SCRANTON, PA
ZIP 18509-205
Phone: (570) 963-1276
Fax: (570) 558-2455

The provider's authorized official is Suzanne Tolerico .
The authorized official title is Billing Manager and has the following contact phone number (570) 963-1275.

The CLIA number assigned to this NPI record is 39D2246008 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2016 and was last updated on 1/29/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13140N1450XSkilled Nursing FacilityNursing Care, Pediatric23864001PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11000013880080MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.