TWIN LAKES CENTER, INC. (NPI# 1235458472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235458472 |
Entity Type | Organization |
Organization Name | TWIN LAKES CENTER, INC. |
Practice Address |
224 Twin Lake Rd Somerset PA 15501-7727 |
Mailing Address |
224 Twin Lake Rd Po Box 909 Somerset PA 15501-7727 |
Practice Telephone | 8144433639 |
Mailing Telephone | 8144433639 |
Enumeration Date | 2010-05-27 |
Last Update Date | 2017-07-27 |
Authorized Official Name | MS. BROOKE MCKENZIE (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8144433639 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 561089 | PA | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 100773311 | 05 |
Street Address |
224 TWIN LAKE RD |
City | SOMERSET |
State | PA |
Zip Code | 15501-7727 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699947358 | Brooke Danielle Mckenzie | Social Worker | 224 Twin Lake Rd, Somerset, PA 15501-7727 | 2008-04-02 |
1730406687 | Breiann Yoder | Social Worker | 224 Twin Lake Rd, Somerset, PA 15501-7727 | 2010-04-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083108559 | Jeffrey G. Carberry, Dmd, PC | Dentist | 203 E. Patriot St., Suite 200, Somerset, PA 15501 | 2018-06-19 |
1437666062 | Area Agency On Aging of Somerset County | Home Delivered Meals | 1338 South Edgewood Avenue, Somerset, PA 15501 | 2018-01-04 |
1982131157 | Zachary James Ankney | Family Medicine | 329 S. Pleasant Ave., Somerset, PA 15501 | 2017-05-17 |
1013382142 | Susan Kimmel | Counselor | Georgian Place, Suite 309, Somerset, PA 15501 | 2015-12-01 |
1659759850 | Mohammed Abuzar Khan | Internal Medicine | 225 S Center Avenue Somerset Hospital, Somerset, PA 15501 | 2015-05-08 |
1649586991 | Kathryn Relampagos Trinidad | Family Medicine | 329 S. Pleasant Avenue, Somerset, PA 15501 | 2010-08-25 |
1063643856 | Jacob Wayne Shipley | Anesthesiology | 126 E Church St Ste 2400, Somerset, PA 15501 | 2009-07-28 |
1811141823 | Orthopedic & Sports Physical Therapy Associates, Inc. | Durable Medical Equipment & Medical Supplies | 223 S. Pleasant Ave, Suite 301, Somerset, PA 15501 | 2008-11-05 |
1720256480 | Antoinette L Botti Od | Optometrist | 134 West Main St, Somerset, PA 15501 | 2008-02-15 |
1558561654 | Bedford-somerset Developmental and Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 668 Rear East Main Street, Somerset, PA 15501 | 2007-07-18 |
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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] |
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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 |
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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.