Provider Demographics
NPI:1891172516
Name:CARING COMMUNITIES FOR AIDS
Entity type:Organization
Organization Name:CARING COMMUNITIES FOR AIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:KUPCHIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-829-2700
Mailing Address - Street 1:301A W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:PA
Mailing Address - Zip Code:18603-3603
Mailing Address - Country:US
Mailing Address - Phone:570-829-2700
Mailing Address - Fax:570-829-2777
Practice Address - Street 1:301A W 3RD ST
Practice Address - Street 2:
Practice Address - City:BERWICK
Practice Address - State:PA
Practice Address - Zip Code:18603-3603
Practice Address - Country:US
Practice Address - Phone:570-829-2700
Practice Address - Fax:570-829-2777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-01
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101770898Medicaid