SAMARA HOUSE (NPI# 1154867604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154867604 |
| Entity Type | Organization |
| Organization Name | SAMARA HOUSE |
| Practice Address |
423 E Lincoln Hwy Coatesville PA 19320-3411 |
| Practice Telephone | 6103849591 |
| Mailing Telephone | 6103849591 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |
| Authorized Official Name | JOYCE BUNNELL (DIRECTOR) |
| Authorized Official Telephone | 6103849591 |
| Authorized Official Credential | NCAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 251K00000X | PA | Agencies |
| Street Address |
423 E LINCOLN HWY |
| City | COATESVILLE |
| State | PA |
| Zip Code | 19320-3411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093986424 | Cywa | Substance Abuse Rehabilitation Facility | 423 E Lincoln Hwy, Coatesville, PA 19320-3411 | 2008-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029306 | Ara Dadivanyan | Psychiatry & Neurology | 201 Reeceville Rd., Brandywine Hospital, Coatesville, PA 19320 | 2020-07-01 |
| 1669098919 | Sara Mostafa | Psychiatry & Neurology | Brandy Wine Hospital, 201 Reeceville Rd, Coatesville, PA 19320 | 2020-06-23 |
| 1225654072 | Laurie Bond | Counselor | 774 East Lincoln Highway, Coatesville, PA 19320 | 2020-06-17 |
| 1356964506 | Timothy Robert Derosa | Psychiatry & Neurology | Brandywine Hospital 201 Reeceville Rd., Coatesville, Pa, PA 19320 | 2020-05-22 |
| 1184264632 | Evolve Individual Services, LLC | Counselor | 135 E Chestnut St, 204, Coatesville, PA 19320 | 2020-01-13 |
| 1649824111 | Angela Lynne Sylvina | Social Worker | 1825 E Lincoln Highway, Coatesville, PA 19320 | 2019-08-01 |
| 1629540257 | Rhonda Jean Sanford | Social Worker | Coatesville Vamc, Attn: Rhonda Sanford, Lcsw, 1400 Blackhorse Hill Rd, Bldg 57, Rm 227, Coatesvillle, PA 19320 | 2018-12-20 |
| 1528540499 | Jetquatta Parker | Licensed Practical Nurse | 786 Coates St, Coatesville, PA 19320 | 2018-09-06 |
| 1639608052 | Shafkat Hussain | Pharmacist | 800 East Lincoln Highway, Coatesville, PA 19320 | 2017-06-08 |
| 1790222032 | Elizabeth Barnett | Counselor | 2034crest Dr, Coatesville, PA 19320 | 2017-01-25 |
| Find all providers in zip 19320 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437609120 | Carelink Community Support Services | Community/Behavioral Health | 2691 Manor Rd, Coatesville, PA 19320-1257 | 2016-10-06 |
| 1952727604 | Carelink Community Support Services | Community/Behavioral Health | 2319 E Kings Hwy, Coatesville, PA 19320-2141 | 2014-03-05 |
| 1982034864 | Elisha Wendi Farley | Community/Behavioral Health | 2619 Barclay Street, Coatesville, PA 19320-7519 | 2013-11-14 |
| 1255764353 | Child Behavior Solutions, LLC | Community/Behavioral Health | 202 Horseshoe Ln, Coatesville, PA 19320-4120 | 2013-08-13 |
| 1730429093 | Carelink Community Support Services | Community/Behavioral Health | 130 Davis Rd, Coatesville, PA 19320-6144 | 2013-02-25 |
| 1447502836 | Child Guidance Resource Centers | Community/Behavioral Health | 28 Chester Ave, Coatesville, PA 19320 | 2012-10-09 |
| 1588148589 | Expandabilities | Community/Behavioral Health | 107 Peters Ct, Coatesville, PA 19320-2719 | 2018-09-17 |
| 1588013882 | Childrens Behavioral Health Center | Community/Behavioral Health | 848 W Kings Hwy, Coatesville, PA 19320-1714 | 2016-06-07 |
| 1265665277 | Elizabeth Ann Fenstermacher | Community/Behavioral Health | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2009-08-25 |
| 1245478528 | Gaudenzia Inc. | Community/Behavioral Health | 31 S 10th Ave, Coatesville, PA 19320-3561 | 2009-01-26 |
| Find all providers in COATESVILLE | ||||
| City | COATESVILLE |
| Zip Code | 19320 |
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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.