PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES (NPI# 1154304483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154304483 |
| Entity Type | Organization |
| Organization Name | PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES |
| Other Organization Name | EBENSBURG CENTER |
| Practice Address |
4051 Admiral Peary Hwy Ebensburg PA 15931-4332 |
| Mailing Address |
Po Box 600 Ebensburg PA 15931-0600 |
| Practice Telephone | 8144720200 |
| Practice Fax Number | 8144720542 |
| Mailing Telephone | 8144727350 |
| Mailing Fax Number | 8144720542 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2015-12-23 |
| Authorized Official Name | PATTI A. EISNER (ADMINISTRATOR) |
| Authorized Official Telephone | 7177052774 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100308518 | 05 |
| Other Name | Type Code |
|---|---|
| Ebensburg Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790768471 | Pennsylvania Department of Human Services | Pharmacy | 33 Main Dr, North Warren, PA 16365-5001 | 2005-11-28 |
| 1760465454 | Pennsylvania Department of Human Services | Intermediate Care Facility, Mentally Retarded | 827 Oley Valley Rd, White Haven, PA 18661-3043 | 2005-11-28 |
| 1376526111 | Pennsylvania Department of Human Services | Pharmacy | State Route 1014, Torrance, PA 15779-0111 | 2005-11-25 |
| 1851374698 | Pennsylvania Department of Human Services | Intermediate Care Facility, Mentally Retarded | 1 Lakewood Circle, Polk, PA 16342 | 2005-11-25 |
| 1295718039 | Pennsylvania Department of Human Services | Nursing Facility/Intermediate Care Facility | 10058 S Mountain Rd, South Mountain, PA 17261-0900 | 2005-11-25 |
| 1457334336 | Pennsylvania Department of Human Services | Pharmacy | 50 Kirkbride Dr, Danville, PA 17821-8630 | 2005-11-23 |
| 1447233424 | Pennsylvania Department of Human Services | Pharmacy | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2005-11-23 |
| 1447233317 | Pennsylvania Department of Human Services | Psychiatric Hospital | 1001 Sterigere St, Norristown, PA 19401-5300 | 2005-11-23 |
| 1437132651 | Pennsylvania Department of Human Services | Intermediate Care Facility, Mentally Retarded | 3560 Old Rte 22, Hamburg, PA 19526 | 2005-11-22 |
| 1508849738 | Pennsylvania Department of Human Services | Intermediate Care Facility, Mentally Retarded | 1000 Us Highway 522, Selinsgrove, PA 17870-8707 | 2005-11-22 |
| Street Address |
4051 ADMIRAL PEARY HWY |
| City | EBENSBURG |
| State | PA |
| Zip Code | 15931-4332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245751288 | From The Heart Penn State | Home Health | 2354 Colver Road, Ebensburg, PA 15931 | 2017-06-29 |
| 1154722304 | Brenda Lee Stewart-bezilla | Specialist | 429 Manor Drive, Ebensburg, PA 15931 | 2014-09-08 |
| 1376959213 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 139 Cook Rd Ste 140, Ebensburg, PA 15931 | 2014-07-10 |
| 1083990220 | Brian J Sidone | Counselor | 3720 New Germany Rd, Ebensburg, PA 15931 | 2011-11-02 |
| 1508158643 | Ibrahim Mustafa Altubasi | Physical Therapist | 3053 New Germany Road, Ebensburg, PA 15931 | 2011-05-09 |
| 1710281381 | Samantha R Snowberger | Counselor | 499 Manor Dr, Ebensburg, PA 15931 | 2010-12-22 |
| 1003090416 | Robert Regis Maruca | Dentist | 300 W Highland Ave, Ebensburg, PA 15931 | 2007-12-20 |
| 1346375466 | Danna Johnson | Pharmacist | 4501 William Penn Highway, Ebensburg, PA 15931 | 2007-02-22 |
| 1811094352 | Bruce Allen Felix | Optometrist | 300 Wal-mart Drive, The Vision Center, Ebensburg, PA 15931 | 2006-09-19 |
| 1255440947 | Errol Dudley Henriques | General Practice | 519 North Caroline Street, Ebensburg, PA 15931 | 2006-08-29 |
| Find all providers in zip 15931 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821565029 | Martha Lloyd Intermediate Care Facility | Intermediate Care Facility, Mentally Retarded | 76 Coppertree Ln, Troy, PA 16947 | 2018-10-26 |
| 1609327469 | Barc Developmental Services | Intermediate Care Facility, Mentally Retarded | 229 N Hellertown Ave, Quakertown, PA 18951 | 2016-10-17 |
| 1124407309 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1745 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1477932655 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1755 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1003295288 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1765 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1336531508 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 8538 Frankford Ave, Philadelphia, PA 19136-2032 | 2015-02-25 |
| 1982009254 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 225 Upland Road, Brookhaven, PA 19015 | 2014-10-29 |
| 1811306038 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 813 W Rolling Rd, Springfield, PA 19064-1122 | 2014-08-13 |
| 1972911337 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 4317 Bethel Rd, Upper Chichester, PA 19061-2710 | 2014-07-30 |
| 1245658228 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 940 Fairview Rd, Swarthmore, PA 19081-2913 | 2014-04-07 |
| Find all providers with the same taxonomy | ||||
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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.