Provider Demographics
NPI:1275665689
Name:CHILDREN'S AID HOME PROGRAMS OF SOMERSET COUNTY INC
Entity Type:Organization
Organization Name:CHILDREN'S AID HOME PROGRAMS OF SOMERSET COUNTY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MS
Authorized Official - Phone:814-443-1637
Mailing Address - Street 1:1476 N CENTER AVE
Mailing Address - Street 2:PO BOX 1195
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501-1632
Mailing Address - Country:US
Mailing Address - Phone:814-443-1637
Mailing Address - Fax:814-445-8481
Practice Address - Street 1:1476 N CENTER AVE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-1632
Practice Address - Country:US
Practice Address - Phone:814-443-1637
Practice Address - Fax:814-445-8481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251J00000XAgenciesNursing Care
Not Answered251S00000XAgenciesCommunity/Behavioral Health
Not Answered323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility