DEMENTIA CONNECTION LLC NPI 1942503560

NPI Information

  • NPI: 1942503560
  • Provider Name: DEMENTIA CONNECTION LLC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Organization
  • Address: 2500 ADAMS AVE
    HOLY FAMILY RESIDENCE
    SCRANTON, PA
    ZIP 18509
  • Phone: (570) 343-4065

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NPI Details

DEMENTIA CONNECTION LLC is a gerontology nurse practitioner in Scranton, PA. DEMENTIA CONNECTION LLC NPI is 1942503560. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2500 ADAMS AVE
HOLY FAMILY RESIDENCE
SCRANTON, PA
ZIP 18509-515
Phone: (570) 343-4065
Fax: (570) 343-0448

The provider's authorized official is Susan G. Scanland .
The authorized official title is Ceo And Founder and has the following contact phone number (570) 586-0655.

The enumeration date for this NPI number is 12/21/2010 and was last updated on 12/21/2010.

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
1363LA2200XNurse PractitionerAdult HealthVP000593CPENNSYLVANIANo
2363LG0600XNurse PractitionerGerontologySP010872PENNSYLVANIAYes

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
1S93175MEDICARE UPINPENNSYLVANIA
21583600PABSOTHERPENNSYLVANIAPA BLUE SHIELD
3MC022849MEDICARE PINPENNSYLVANIA

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: 11/21/2025

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