OrganizationActive
Extraordinary Youth Program Inc.
NPI 1063158897 · Child Intellectual and/or Developmental Disabilities Respite Care · Farrell, PA
Provider details
- NPI number
- 1063158897
- Entity type
- Organization
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Tiffany Lorance-Porter, Ceo(724) 734-3892
Specialties & taxonomies
Respite Care Facility
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
251 Lunn Blvd
Farrell, PA 16121-1536
Phone: (724) 734-3892
Street-level locationGet directions
Mailing address
251 Lunn Blvd
Farrell, PA 16121-1536
Registry dates
- Enumerated
- 2022-05-05
- Last updated
- 2022-05-05
- Certified
- 2022-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.