1689715997 NPI number — RESOURCES FOR HUMAN DEVELOPMENT INC.

Table of content: (NPI 1689715997)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689715997 NPI number — RESOURCES FOR HUMAN DEVELOPMENT INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RESOURCES FOR HUMAN DEVELOPMENT 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:
NEW PERSPECTIVES CRISIS RESIDENCE
Provider Other Organization Name Type Code:
5
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:
1689715997
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/29/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1321 MIDDLE EASTON BELMONT PIKE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STROUDSBURG
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18360-9599
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
570-992-0879
Provider Business Mailing Address Fax Number:
570-992-9410

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1321 MIDDLE EASTON BELMONT PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18360-9599
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-992-0879
Provider Business Practice Location Address Fax Number:
570-992-9410
Provider Enumeration Date:
02/09/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FISHMAN
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
215-951-0300

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  245280 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 320800000X , with the licence number: 201570 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 1000017080236 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".