ANDRE MOLANDO WEST (NPI# 1174012868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174012868 |
| Entity Type | Individual |
| Full Name | ANDRE MOLANDO WEST |
| Credential | LSW |
| Practice Address |
444 Dalton Ave Rochester PA 15074-2402 |
| Practice Telephone | 7243122558 |
| Mailing Telephone | 7243122558 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
444 DALTON AVE |
| City | ROCHESTER |
| State | PA |
| Zip Code | 15074-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357697 | Clinical Resource Management, LLC | Community Based Residential Treatment Facility, Mental Illness | 444 Dalton Ave, Rochester, PA 15074-2402 | 2020-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922657162 | Leslie C. Yaccich | Technician | 742 Mclean Street, Rochester, PA 15074 | 2019-09-10 |
| 1366969339 | Jenna Marie George | Dietitian, Registered | 300 Brighton Avenue, Suite 110, Rochester, PA 15074 | 2017-08-29 |
| 1457759334 | Monica Joyce Dickerman | Occupational Therapist | 174 Virginia Avenue, Rochester, PA 15074 | 2014-12-09 |
| 1356501712 | Eudora Patricia Williams | Durable Medical Equipment & Medical Supplies | 454 Hamrony Ave, Rochester, PA 15074 | 2008-06-10 |
| 1629137559 | Mario A. Grippa | Chiropractor | 373 Virginia Avenue, Rochester, PA 15074 | 2006-12-06 |
| 1831691161 | Lauren Elizabeth Stone | Dental Hygienist | 176 Virginia Ave, Rochester, PA 15074 | 2018-03-02 |
| 1114297652 | Angela Marie Gilkey | Registered Nurse | 176 Virginia Ave, Rochester, PA 15074 | 2011-12-30 |
| 1326073602 | Adele Ruth Hathaway | Social Worker | 176 Virginia Ave, Wpic of Upmc Beaver Valley, Rochester, PA 15074 | 2006-07-12 |
| 1760044093 | Hidden Hill Horse Farm | Recreation Therapist | 600 Pittsburgh Rd, Rochester, PA 15074-1003 | 2019-07-08 |
| 1821061631 | Rochester Area School District | Case Management | 540 Reno St, Rochester, PA 15074-1240 | 2006-02-10 |
| Find all providers in zip 15074 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417171562 | East House Corp | Community Based Residential Treatment Facility, Mental Illness | 259 Monroe Ave., Ste. 200, Rochester, NY 14607-5630 | 2007-04-12 |
| 1295357697 | Clinical Resource Management, LLC | Community Based Residential Treatment Facility, Mental Illness | 444 Dalton Ave, Rochester, PA 15074-2402 | 2020-05-08 |
| 1134293541 | Depaul Communtiy Services | Community Based Residential Treatment Facility, Mental Illness | 1931 Buffalo Rd, Rochester, NY 14624-1535 | 2006-11-17 |
| 1467524801 | Depaul Winship | Community Based Residential Treatment Facility, Mental Illness | 1931 Buffalo Rd, Rochester, NY 14624-1535 | 2006-11-14 |
| 1861564221 | Living Opportunities of Depaul | Community Based Residential Treatment Facility, Mental Illness | 1931 Buffalo Rd, Rochester, NY 14624-1535 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383628 | New Visions of South Central Pa, Inc. | Community Based Residential Treatment Facility, Mental Illness | 138 E King St, Shippensburg, PA 17257-1329 | 2020-10-13 |
| 1013410224 | Aishah Holman | Community Based Residential Treatment Facility, Mental Illness | 221 Jacoby St, Norristown, PA 19401-4040 | 2018-03-14 |
| 1154858827 | Thoughtful Choice | Community Based Residential Treatment Facility, Mental Illness | 122 Faybern Ct, Verona, PA 15147-1507 | 2017-05-12 |
| 1154857365 | Housing and Education Resource Program Inc | Community Based Residential Treatment Facility, Mental Illness | 563 Stokes Ave, Braddock, PA 15104-2267 | 2017-05-08 |
| 1457892283 | Evangelical Alumni Inc. | Community Based Residential Treatment Facility, Mental Illness | 3232 N 33rd St, 3232 N 33rd St, Philadelphia, PA 19129-1202 | 2017-03-13 |
| 1871033118 | Shared Values | Community Based Residential Treatment Facility, Mental Illness | 17 Larkspur Ln, Collegeville, PA 19426-3931 | 2017-03-06 |
| 1932645108 | Elwyn | Community Based Residential Treatment Facility, Mental Illness | 5218 Germantown Ave, Philadelphia, PA 19144-2347 | 2017-01-12 |
| 1639536949 | Path (people Acting To Help) | Community Based Residential Treatment Facility, Mental Illness | 8429 Castor Ave, Philadelphia, PA 19152-1903 | 2016-01-19 |
| 1821453150 | Community Outreach Program | Community Based Residential Treatment Facility, Mental Illness | 1311 N 52nd St, Philadelphia, PA 19131-4412 | 2015-12-31 |
| 1154786564 | Path (people Acting To Help), Inc. | Community Based Residential Treatment Facility, Mental Illness | 716 Rhawn St, Philadelphia, PA 19111-2554 | 2015-12-30 |
| 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.