1518928753 NPI number — AMERICAN HUMAN SERVICES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518928753 NPI number — AMERICAN HUMAN SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN HUMAN SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518928753
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
512 HAYES ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BETHLEHEM
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18015-1916
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-691-1129
Provider Business Mailing Address Fax Number:
610-758-8475

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
147 E BROAD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BETHLEHEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18018-6219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-691-1129
Provider Business Practice Location Address Fax Number:
610-759-8475
Provider Enumeration Date:
03/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PETERSON
Authorized Official First Name:
NANET
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
OWNER, PRESIDENT
Authorized Official Telephone Number:
610-691-1129

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 50013539 . This is a "CAPITAL BLUE CORSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 225054 . This is a "COMP PSYCH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 331747 . This is a "MANAGED HEALTH NET" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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