Provider Demographics
| NPI: | 1750657797 |
|---|---|
| Name: | CITIZEN CARE, INC. |
| Entity Type: | Organization |
| Organization Name: | CITIZEN CARE, INC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | EXECUTIVE DIRECTOR - HUMAN RESOURCE |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | GROVE |
| Authorized Official - Middle Name: | W |
| Authorized Official - Last Name: | DEMING |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 412-446-0730 |
| Mailing Address - Street 1: | 250 CLEVER RD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MC KEES ROCKS |
| Mailing Address - State: | PA |
| Mailing Address - Zip Code: | 15136-1088 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 414-446-0700 |
| Mailing Address - Fax: | 412-446-0774 |
| Practice Address - Street 1: | 250 CLEVER RD |
| Practice Address - Street 2: | |
| Practice Address - City: | MC KEES ROCKS |
| Practice Address - State: | PA |
| Practice Address - Zip Code: | 15136-1088 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 414-446-0700 |
| Practice Address - Fax: | 412-446-0774 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | Yes |
| Parent Organization LBN: | PARTNERS FOR QUALITY, INC. |
| Parent Organization TIN: | <UNAVAIL> |
| Enumeration Date: | 2012-03-23 |
| Last Update Date: | 2012-03-23 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| PA | 1000023940009 | Other | MPI |
| PA | 1000023940097 | Other | MPI |
| PA | 1000023940103 | Other | MPI |
| PA | 1000023940104 | Other | MPI |
| PA | 1000023940106 | Other | MPI |
| PA | 1000023940111 | Other | MPI |
| PA | 1000023940112 | Other | MPI |
| PA | 1000023940006 | Other | MPI |
| PA | 1000023940011 | Other | MPI |
| PA | 1000023940014 | Other | MPI |
| PA | 1000023940100 | Other | MPI |
| PA | 1000023940102 | Other | MPI |
| PA | 1000023940105 | Other | MPI |
| PA | 1000023940108 | Other | MPI |
| PA | 1000023940002 | Other | MP |
| PA | 1000023940077 | Other | MPI |
| PA | 1000023940090 | Other | MPI |
| PA | 1000023940012 | Other | MPI |
| PA | 1000023940015 | Other | MPI |
| PA | 1000023940017 | Other | MPI |
| PA | 1000023940022 | Other | MPI |
| PA | 1000023940026 | Other | MPI |
| PA | 1000023940083 | Other | MPI |
| PA | 1000023940109 | Other | MPI |
| PA | 1000023940128 | Other | MPI |
| PA | 1000023940003 | Other | MPI |
| PA | 1000023940007 | Other | MPI |
| PA | 1000023940024 | Other | MPI |
| PA | 1000023940075 | Other | MPI |
| PA | 1000023940076 | Other | MPI |
| PA | 1000023940098 | Other | MPI |
| PA | 1000023940107 | Other | MPI |
| PA | 1000023940110 | Other | MPI |
| PA | 1000023940008 | Other | MPI |
| PA | 1000023940078 | Other | MPI |
| PA | 1000023940085 | Other | MPI |
| PA | 1000023940095 | Other | MPI |
| PA | 1000023940099 | Other | MPI |
| PA | 1000023940101 | Other | MPI |
| PA | 1000023940004 | Other | MPI |
| PA | 1000023940005 | Other | MPI |
| PA | 1000023940019 | Other | MPI |
| PA | 1000023940080 | Other | MPI |
| PA | 1000023940096 | Other | MPI |
| PA | 1000023940010 | Other | MPI |
| PA | 1000023940013 | Other | MPI |
| PA | 1000023940016 | Other | MPI |
| PA | 1000023940018 | Other | MPI |
| PA | 1000023940025 | Other | MPI |
| PA | 1000023940082 | Other | MPI |
