PEDIATRIC SPECIALTY CARE AT LANCASTER
NPI 1992002505
Nursing Care in Lancaster, PA

Active since February 16, 2011CLIA 39D2213696 · Waiver
120 RIDER AVE, LANCASTER, PA 17603(717) 394-0882 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Specialty Care At Lancaster NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC SPECIALTY CARE AT LANCASTER (NPI 1992002505) is a healthcare organization registered as a nursing care in Lancaster, Pennsylvania and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through February 15, 2027 and lists Kimberly Kenworthy, Sr. Director Revenue Cycle Mgmt, as its authorized official.

NPPES Registry Identity

NPI1992002505
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business Name120 RIDER AVENUE OPERATING COMPANY, LP
Location Address120 RIDER AVELancaster, PA 17603-4831
Mailing Address500 Seneca St Ste 100Buffalo, NY 14204-1963 · (716) 361-6636
Organization SubpartNo
Authorized OfficialKimberly KenworthySr. Director Revenue Cycle Mgmt · (716) 361-6636
Enumeration DateFebruary 16, 2011
Last NPPES UpdateSeptember 23, 2024
NPPES CertifiedSeptember 23, 2024
NPI 1992002505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License Licensed in PA · 328590
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
120 RIDER AVE, Lancaster, PA 17603

Other Names 1

Doing Business AsPediatric Specialty Care At Lancaster

Other Identifiers 2

Other328690PA · Pennsylvania Department Of Public Welfare
Other328590PA · Pennsylvania Department Of Public Welfare

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2213696

Pediatric Specialty Care Lancaster · Lancaster, PA
Active · expires Feb 15, 2027
CLIA Number39D2213696
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateFebruary 16, 2025
Certificate Expiration DateFebruary 15, 2027
Laboratory DirectorDr. Harry P. Bramley
Laboratory Phone(717) 394-0882
Laboratory LocationPediatric Specialty Care Lancaster120 Rider Avenue, Lancaster, PA 17603
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Custodial Care Facility (Adult Care Home)
120 RIDER AVE
LANCASTER, PA 17603
Nursing Care
120 RIDER AVE
LANCASTER, PA 17603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 120 Rider Avenue Operating Company, LP's NPI number?

The NPI number for 120 Rider Avenue Operating Company, LP is 1992002505. It was assigned to this organization in the NPPES registry on February 16, 2011. The provider is doing business as Pediatric Specialty Care At Lancaster.

Where is 120 Rider Avenue Operating Company, LP located?

120 Rider Avenue Operating Company, LP is located at 120 Rider Ave, Lancaster, PA 17603. The listed phone number is (717) 394-0882.

What is 120 Rider Avenue Operating Company, LP's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

Does 120 Rider Avenue Operating Company, LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2213696) is associated with this NPI, valid through February 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 120 Rider Avenue Operating Company, LP was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.