ANTHRACITE REGION CENTER FOR INDEPENDENT LIVING — NPI 1174379465 (Licensed & Credentialed Agencies

CMS-1500 Box 24J / 33a • NPI

1174379465

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251V00000X (CMS 61)

Licensed & Credentialed Agencies — Voluntary or Charitable

Box 32 Service Location & ZIP+4

8 W BROAD ST STE 228, HAZLETON, PA, 18201-6401

✓ 9-Digit EDI 837 ZIP+4 (18201-6401)

Practice Phone & Referral Fax

(570) 455-9800

Fax: (570) 455-1731

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1174379465 (ANTHRACITE REGION CENTER FOR INDEPENDENT LIVING) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1174379465` (NPI-2 Organization / Facility)
Provider / Legal Name	ANTHRACITE REGION CENTER FOR INDEPENDENT LIVING
Plain-English Specialty	Licensed & Credentialed Agencies — Voluntary or Charitable NUCC Code: `251V00000X` (Voluntary or Charitable)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	8 W BROAD ST STE 228, HAZLETON, PA, 18201-6401
Practice Telephone / Fax	Tel: (570) 455-9800 \| Fax: (570) 455-1731
Administrative Mailing Address	8 W BROAD ST STE 228, HAZLETON, PA, 18201-6401
Enumeration & Last Sync	Enumerated: 2024-04-26 \| CMS Record Updated: 2024-04-26
Authorized Official	LINDA BRADLEY (Fiscal Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

8 W BROAD ST STE 228, HAZLETON, PA, 18201-6401

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Plain-English Taxonomy & CMS Crosswalk (251V00000X)

What Does Taxonomy Code 251V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251V00000X translates to:
"Licensed & Credentialed Agencies — Voluntary or Charitable"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 61 (Voluntary Health or Charitable Agency[1])
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Voluntary or Charitable for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANTHRACITE REGION CENTER FOR INDEPENDENT LIVING)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251V00000X` — Voluntary or Charitable Plain English: Licensed & Credentialed Agencies — Voluntary or Charitable	State: N/A \| License: `Verified` \| Primary: Yes (Primary)
`343900000X` — Non-emergency Medical Transport (VAN) Plain English: Licensed & Credentialed Non-emergency Medical Transport (VAN)	State: N/A \| License: `Verified` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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ANTHRACITE REGION CENTER FOR INDEPENDENT LIVING (NPI #1174379465)