WALKIRYA PERALTA (NPI# 1396288460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396288460 |
| Entity Type | Individual |
| Full Name | WALKIRYA PERALTA |
| Practice Address |
134 Locust St Lancaster PA 17602-3610 |
| Mailing Address |
453 S Lime St Suite A Lancaster PA 17602-3649 |
| Practice Telephone | 7174311411 |
| Mailing Telephone | 7174311411 |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100777633 | 05 |
| Street Address |
134 LOCUST ST |
| City | LANCASTER |
| State | PA |
| Zip Code | 17602-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467972034 | Spanish American Civic Association for Equality, Inc | Substance Abuse Rehabilitation Facility | 134 Locust St, Lancaster, PA 17602-3610 | 2017-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313173 | Taylor Giambrone | Registered Nurse | Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 | 2020-10-12 |
| 1982268843 | Blanche Nichole Breznak | Pharmacist | 201 East Chestnut St, Lancaster, PA 17602 | 2019-04-25 |
| 1285104851 | Stephanie Benedict | Pharmacist | 1603 Lincoln Highway East, Lancaster, PA 17602 | 2018-11-27 |
| 1043709835 | Deborah J Campos-bard, Lmt | Massage Therapist | 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 | 2018-05-07 |
| 1861989493 | Functional Freedom LLC | Occupational Therapist | 105 Heritage Rd., Lancaster, PA 17602 | 2018-04-19 |
| 1083094577 | Gracie Berry | Counselor | 413 Church St, Lancaster, PA 17602 | 2015-06-01 |
| 1366835597 | Holcomb Associates, Inc. | Community/Behavioral Health | 800 New Holland Avenue, Lancaster, PA 17602 | 2015-03-12 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1710221668 | Kourtney Randsdorp | Occupational Therapist | 105 Heritage Rd, Lancaster, PA 17602 | 2012-11-15 |
| Find all providers in zip 17602 | ||||
| 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 |
|---|---|---|---|---|
| 1851902746 | New Day Rehab Center | Substance Abuse Rehabilitation Facility | 1929 W Avenue L, Lancaster, CA 93534-8827 | 2020-08-13 |
| 1033730619 | Twin Branch Wellness & Recovery LLC | Substance Abuse Rehabilitation Facility | 1471 Davis Mill Rd, Lancaster, VA 22503-2111 | 2020-05-05 |
| 1497376859 | Quest Recovery, Inc. | Substance Abuse Rehabilitation Facility | 3233 W Avenue K1, Lancaster, CA 93536-6620 | 2020-04-27 |
| 1003435629 | Design for Change | Substance Abuse Rehabilitation Facility | 44319 11th St E, Lancaster, CA 93535-3855 | 2020-04-14 |
| 1366083362 | New Road Recovery Services Inc. | Substance Abuse Rehabilitation Facility | 44554 Leatherwood Ave, Lancaster, CA 93534-2906 | 2019-10-01 |
| 1477113108 | New Day Rehab Center | Substance Abuse Rehabilitation Facility | 1616 W Avenue L, Lancaster, CA 93534-6247 | 2019-06-14 |
| 1467972034 | Spanish American Civic Association for Equality, Inc | Substance Abuse Rehabilitation Facility | 134 Locust St, Lancaster, PA 17602-3610 | 2017-06-23 |
| 1619403672 | Quest Recovery | Substance Abuse Rehabilitation Facility | 3239 W Avenue K1, Lancaster, CA 93536-6620 | 2017-05-11 |
| 1902330061 | Design for Living Behavior Health, Inc. | Substance Abuse Rehabilitation Facility | 42210 61st St W, Lancaster, CA 93536-3731 | 2017-04-16 |
| 1720419757 | Design for Change | Substance Abuse Rehabilitation Facility | 1066 E Avenue J, Lancaster, CA 93535-3870 | 2013-12-02 |
| Find all providers in LANCASTER | ||||
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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.