MEDICARE: CONCORDCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1558297929
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONCORDCARE LLC

Provider Business Mailing Address
First Line	:	1250 N MOUNTAIN RD STE 211
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17112-1780
Country	:	US
Telephone Number	:	717-599-6187
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 N MOUNTAIN RD STE 211
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17112-1780
Country	:	US
Telephone Number	:	717-599-6187
Fax Number	:

Authorized Official
Title or Position	:	LPN
Name	:	HADDY TOURAY
Credential	:
Telephone Number	:	717-433-4461

Provider Enumeration Date	:	06/22/2026
Last Update Date	:	06/22/2026

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