PYRAMID HEALTHCARE INC. (NPI# 1124450069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124450069 |
| Entity Type | Organization |
| Organization Name | PYRAMID HEALTHCARE INC. |
| Practice Address |
420 Supreme Ct East Stroudsburg PA 18302-6800 |
| Mailing Address |
1894 Plank Rd Po Box 967 Duncansville PA 16635-8380 |
| Practice Telephone | 8149400407 |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2014-05-14 |
| Authorized Official Name | MR. JONATHAN E WOLF (CEO) |
| Authorized Official Telephone | 8149400407 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
457040 | PA | Ambulatory Health Care Facilities |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 457040 | PA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007625050079 | 05 | |
| PA | LICENSE NUMBER | 457040 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871157115 | Pyramid Healthcare Inc. | Substance Abuse Rehabilitation Facility | 5849 Lincoln Hwy, York, PA 17406-8903 | 2019-04-23 |
| 1639614142 | Pyramid Healthcare Inc. | Clinic/Center | 401 W Allen St, Allentown, PA 18102-2458 | 2016-12-20 |
| 1689078321 | Pyramid Healthcare Inc. | Clinic/Center | 1230 Veterans Hwy, Suite A-8, Bristol, PA 19007-7502 | 2014-10-09 |
| 1629352927 | Pyramid Healthcare Inc. | Clinic/Center | 1605 North Cedar Crest Boulevard, Suite 105, Roma Corporate Center, Allentown, PA 18104 | 2011-10-05 |
| 1346363595 | Pyramid Healthcare Inc. | Public Health or Welfare | 1216 11th Ave, 3rd Floor, Altoona, PA 16601-3482 | 2007-04-10 |
| 1285757435 | Pyramid Healthcare Inc. | Community/Behavioral Health | 1401 Forbes Ave Ste 200, Pittsburgh, PA 15219-5125 | 2007-04-10 |
| 1689796286 | Pyramid Healthcare Inc. | Clinic/Center | 2 Sellers Dr, Altoona, PA 16601-9306 | 2007-04-04 |
| 1073635736 | Pyramid Healthcare Inc. | Public Health or Welfare | Rr 3 Box 174, Tyrone, PA 16686-9526 | 2007-04-04 |
| 1053433755 | Pyramid Healthcare Inc. | Public Health or Welfare | 101 W High St, Suite 120 3rd. Floor, Ebensburg, PA 15931-1538 | 2007-04-04 |
| 1689796534 | Pyramid Healthcare Inc. | Clinic/Center | 2705 Old Bethlehem Pike, Quakertown, PA 18951-4047 | 2007-04-04 |
| Street Address |
420 SUPREME CT |
| City | EAST STROUDSBURG |
| State | PA |
| Zip Code | 18302-6800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427414713 | Robert Slowik | Specialist/Technologist | 720 Sports Center Drive, Lexington, KY 18302 | 2016-01-03 |
| 1841608098 | Lieah Zavrid | Specialist/Technologist | 406 Roaring Brook Road, Analomink, PA 18302 | 2014-07-31 |
| 1598918674 | Barbara Lynn Vannortwick | Specialist | 303 Sleepy Hollow Estates, East Stroudsburg, PA 18302 | 2008-11-03 |
| 1952590481 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 5122 Milford Rd., East Stroudsburg, PA 18302 | 2007-10-22 |
| 1609944008 | Bushkill Emergency Corps, Inc. | Ambulance | 3 Sterling Court, East Stroudsburg, PA 18302 | 2006-12-01 |
| 1881939619 | North Hunterdon Chiropractic & Wellness Center | Clinic/Center | 1630 Route 31 North, Clinton, NJ 18302 | 2012-12-05 |
| 1073687703 | Sibbering and Mielnicki, Assoc.,pc | Family Medicine | 5221 Milford Rd, East Stroudsburg, PA 18302 | 2006-11-17 |
| 1053703736 | Hardene Dezil-etienne | Registered Nurse | 353 Winona Lakes, East Stroudsburg, PA 18302-6620 | 2015-03-04 |
| 1427570654 | Beatrice Charles | Counselor | 3316 Doral Ct, East Stroudsburg, PA 18302-6660 | 2017-07-10 |
| 1922418540 | Esther Mortimer | Specialist | 545 Marco Way, East Stroudsburg, PA 18302-6693 | 2014-05-05 |
| Find all providers in zip 18302 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016867 | Matthew Alexander Walukonis | Substance Abuse Rehabilitation Facility | 933 S Queen St, York, PA 17403-3935 | 2020-06-04 |
| 1598385924 | Heuer House | Substance Abuse Rehabilitation Facility | 514 Monongahela Ave, Glassport, PA 15045-1425 | 2020-04-27 |
| 1851911523 | Enlightened Solutions Philadelphia,llc | Substance Abuse Rehabilitation Facility | 25 Bala Ave Ste 202, Bala Cynwyd, PA 19004-3215 | 2020-04-22 |
| 1588283832 | Summit Bhc Meadville LLC | Substance Abuse Rehabilitation Facility | 535 Williamson Rd, Meadville, PA 16335-2848 | 2020-04-15 |
| 1538796792 | Genesis House Ministries Inc | Substance Abuse Rehabilitation Facility | 395 E Main St, Uniontown, PA 15401-4347 | 2020-03-26 |
| 1689216574 | Water Gap Capital Partners LLC | Substance Abuse Rehabilitation Facility | 288 Mountain Road, Delaware Water Gap, PA 18327 | 2019-10-11 |
| 1386201713 | Just Believe Recovery Center At Mountains Edge LLC | Substance Abuse Rehabilitation Facility | 306 Sugar Hill Rd, Union Dale, PA 18470-7397 | 2019-05-21 |
| 1689230674 | Snug Harbor Rehabilitation and Recovery LLC | Substance Abuse Rehabilitation Facility | 4638 E Lake Rd, Erie, PA 16511-1410 | 2019-05-15 |
| 1871157115 | Pyramid Healthcare Inc. | Substance Abuse Rehabilitation Facility | 5849 Lincoln Hwy, York, PA 17406-8903 | 2019-04-23 |
| 1962965145 | Providence Living LLC | Substance Abuse Rehabilitation Facility | 1528 Walnut St Ste 1410, Philadelphia, PA 19102-3610 | 2019-04-13 |
| Find all providers with the same taxonomy | ||||
| City | EAST STROUDSBURG |
| Zip Code | 18302 |
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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.