WAKEFIELD COTTAGE LLC (NPI# 1023243987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023243987 |
| Entity Type | Organization |
| Organization Name | WAKEFIELD COTTAGE LLC |
| Practice Address |
4 Nash Trail Albrightsville PA 18210-0314 |
| Mailing Address |
4 Nash Trail Po Box 314 Albrightsville PA 18210 |
| Practice Telephone | 5707228883 |
| Mailing Telephone | 5707228883 |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2009-05-21 |
| Authorized Official Name | JANICE M BROWN (CEO) |
| Authorized Official Telephone | 5707228883 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 207590 | PA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PROMISE | 100002859 | 01 |
| Street Address |
4 NASH TRAIL |
| City | ALBRIGHTSVILLE |
| State | PA |
| Zip Code | 18210-0314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639554942 | St. Luke's Physician Group, Inc | Internal Medicine | 2599 State Route 903, Albrightsville, PA 18210 | 2015-07-28 |
| 1679667968 | Carrigans Country Pharmacy Inc | Pharmacy | 3 Pine Point Plaza, Albrightsville, PA 18210 | 2006-10-03 |
| 1235160649 | Mary Jane Hanson | Nurse Practitioner | 2588 State Route 903, Ste 2, Albrightsville, PA 18210 | 2006-07-05 |
| 1932692795 | Lehigh Valley Physician Group | Family Medicine | 2588 State Route 903, Albrightsville, PA 18210 | 2018-06-07 |
| 1508898867 | Neil Lesitsky | Family Medicine | 2588 State Route 903, Ste 2, Albrightsville, PA 18210 | 2006-07-07 |
| 1588998215 | Karinsue Miller | Contractor | 32 Black Bear Road, Albrightsville, PA 18210-0012 | 2009-09-29 |
| 1023210705 | Raffi H Kadian | Podiatrist | Rte 903 Pine Point Plaza, Suite 601, Albrightsville, PA 18210-0163 | 2007-06-04 |
| 1922108315 | Penn Kidder Medical Center Inc | Family Medicine | 2588 State Route 903, Suite 2, Albrightsville, PA 18210-0182 | 2006-09-25 |
| 1104162759 | Ella Kleyman | Pharmacist | 132 Parker Trail, Albrightsville, PA 18210-0504 | 2012-12-28 |
| 1265963201 | Sandra Pileggi | Registered Nurse | 668 Old Stage Rd, Albrightsville, PA 18210-3302 | 2017-03-22 |
| Find all providers in zip 18210 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940183 | Kenccid | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9350 Ashton Rd Rm 202, Philadelphia, PA 19114-7402 | 2020-10-22 |
| 1952908618 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 604 Glen Circle Dr, Tobyhanna, PA 18466-8300 | 2020-10-06 |
| 1598375305 | Impactful Human Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1055 Westlakes Dr Ste 3003, Berwyn, PA 19312-2410 | 2020-08-06 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1437775442 | The Arc of Crawford County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 222 Chestnut St, Meadville, PA 16335-3407 | 2020-06-25 |
| 1568094142 | Keystone Community Resources, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1768 Mcdonough Ave, Scranton, PA 18508-1566 | 2020-02-11 |
| 1114559267 | Keystone Community Resources, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 336 Sheridan Ave, Clarks Summit, PA 18411-1458 | 2020-02-06 |
| 1619507332 | Above & Beyond Berks LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1007 Saylor Dr, Temple, PA 19560-9587 | 2020-01-22 |
| 1700425287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 639 N South Turnpike Rd, Newfoundland, PA 18445-5032 | 2019-12-31 |
| 1891331120 | Gifted Hands Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1853 William Penn Way Ste 13, Lancaster, PA 17601-6713 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | ALBRIGHTSVILLE |
| Zip Code | 18210 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.