Healthcare Provider Details
I. General information
NPI: 1750657797
Provider Name (Legal Business Name): CITIZEN CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/23/2012
Last Update Date: 03/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
250 CLEVER RD
MC KEES ROCKS PA
15136-1088
US
IV. Provider business mailing address
250 CLEVER RD
MC KEES ROCKS PA
15136-1088
US
V. Phone/Fax
- Phone: 414-446-0700
- Fax: 412-446-0774
- Phone: 414-446-0700
- Fax: 412-446-0774
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320900000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 1000023940009 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 2 | |
| Identifier | 1000023940097 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 3 | |
| Identifier | 1000023940103 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 4 | |
| Identifier | 1000023940104 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 5 | |
| Identifier | 1000023940106 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 6 | |
| Identifier | 1000023940111 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 7 | |
| Identifier | 1000023940112 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 8 | |
| Identifier | 1000023940006 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 9 | |
| Identifier | 1000023940011 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 10 | |
| Identifier | 1000023940014 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 11 | |
| Identifier | 1000023940100 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 12 | |
| Identifier | 1000023940102 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 13 | |
| Identifier | 1000023940105 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 14 | |
| Identifier | 1000023940108 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 15 | |
| Identifier | 1000023940002 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MP |
| # 16 | |
| Identifier | 1000023940077 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 17 | |
| Identifier | 1000023940090 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 18 | |
| Identifier | 1000023940012 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 19 | |
| Identifier | 1000023940015 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 20 | |
| Identifier | 1000023940017 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 21 | |
| Identifier | 1000023940022 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 22 | |
| Identifier | 1000023940026 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 23 | |
| Identifier | 1000023940083 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 24 | |
| Identifier | 1000023940109 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 25 | |
| Identifier | 1000023940128 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 26 | |
| Identifier | 1000023940003 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 27 | |
| Identifier | 1000023940007 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 28 | |
| Identifier | 1000023940024 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 29 | |
| Identifier | 1000023940075 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 30 | |
| Identifier | 1000023940076 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 31 | |
| Identifier | 1000023940098 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 32 | |
| Identifier | 1000023940107 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 33 | |
| Identifier | 1000023940110 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 34 | |
| Identifier | 1000023940008 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 35 | |
| Identifier | 1000023940078 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 36 | |
| Identifier | 1000023940085 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 37 | |
| Identifier | 1000023940095 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 38 | |
| Identifier | 1000023940099 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 39 | |
| Identifier | 1000023940101 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 40 | |
| Identifier | 1000023940004 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 41 | |
| Identifier | 1000023940005 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 42 | |
| Identifier | 1000023940019 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 43 | |
| Identifier | 1000023940080 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 44 | |
| Identifier | 1000023940096 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 45 | |
| Identifier | 1000023940010 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 46 | |
| Identifier | 1000023940013 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 47 | |
| Identifier | 1000023940016 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 48 | |
| Identifier | 1000023940018 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 49 | |
| Identifier | 1000023940025 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
| # 50 | |
| Identifier | 1000023940082 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MPI |
VIII. Authorized Official
Name: MR.
GROVE
W.
DEMING
Title or Position: EXECUTIVE DIRECTOR - HUMAN RESOURCE
Credential:
Phone: 412-446-0730
