MARTHA LLOYD CRF BROOKSIDE (NPI# 1407010986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407010986 |
| Entity Type | Organization |
| Organization Name | MARTHA LLOYD CRF BROOKSIDE |
| Practice Address |
70 Ballard St Troy PA 16947 |
| Mailing Address |
190 W Main St Troy PA 16947-1131 |
| Practice Telephone | 5702972185 |
| Practice Fax Number | 5702971019 |
| Mailing Telephone | 5702972185 |
| Mailing Fax Number | 5702971019 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |
| Authorized Official Name | WILLIAM MILLER (DIRECTOR) |
| Authorized Official Telephone | 5702972185 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1015544810012 | 05 |
| Street Address |
70 BALLARD ST |
| City | TROY |
| State | PA |
| Zip Code | 16947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699249284 | Jodey Lynn Buchanan | Occupational Therapist | 15900 Us- 6, Troy, PA 16947 | 2019-01-16 |
| 1902378953 | Katelin Elizabeth Thompson | Occupational Therapy Assistant | 15900 Us-6, Troy, PA 16947 | 2018-12-31 |
| 1821565029 | Martha Lloyd Intermediate Care Facility | Intermediate Care Facility, Mentally Retarded | 76 Coppertree Ln, Troy, PA 16947 | 2018-10-26 |
| 1801050950 | Martha Lloyd Crf Sugar Creek | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 60 Ballard St, Troy, PA 16947 | 2008-07-17 |
| 1679737803 | Martha Lloyd Crf Ms House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 50 Ballard St, Troy, PA 16947 | 2008-07-16 |
| 1851555338 | Martha Lloyd Crf Brown House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 165 W Main Street, Troy, PA 16947 | 2008-07-15 |
| 1235323973 | Sarah Maxwell Gates | Psychologist | 122 Elmira Street, Suite B, Troy, PA 16947 | 2007-09-05 |
| 1073525069 | Jason D Munitz Od & Scott Rutkoski Od Ptr | Optometrist | 547 Canton Street, Suite 1, Troy, PA 16947 | 2006-08-11 |
| 1396777074 | Paul Jacob Hamburger | Chiropractor | 145 West Main Street, Troy, PA 16947 | 2006-07-06 |
| 1124019773 | Cookes Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 14 Elmira St, Troy, PA 16947 | 2005-11-02 |
| Find all providers in zip 16947 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952926230 | Ouicare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 117 E Forest Ave, Troy, AL 36081-4501 | 2020-06-11 |
| 1164882296 | Martha Lloyd Community Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2227 Calkins Rd, Troy, PA 16947-8089 | 2016-03-02 |
| 1336509462 | Martha Lloyd Community Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1087 Sylvania Rd, Troy, PA 16947-8835 | 2016-03-02 |
| 1548620172 | Martha Lloyd Community Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 75a Lloyd Lane, Troy, PA 16947-1502 | 2016-02-24 |
| 1619337243 | Martha Lloyd Community Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 75b Lloyd Lane, Troy, PA 16947-1502 | 2016-02-24 |
| 1801050950 | Martha Lloyd Crf Sugar Creek | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 60 Ballard St, Troy, PA 16947 | 2008-07-17 |
| 1679737803 | Martha Lloyd Crf Ms House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 50 Ballard St, Troy, PA 16947 | 2008-07-16 |
| 1194989376 | Martha Lloyd Crf Sylvania House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2187 Sylvania Rd, Troy, PA 16947-9619 | 2008-07-16 |
| 1962666446 | Martha Lloyd Crf Exchange Street | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 Exchange St, Troy, PA 16947-1106 | 2008-07-15 |
| 1851555338 | Martha Lloyd Crf Brown House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 165 W Main Street, Troy, PA 16947 | 2008-07-15 |
| Find all providers in TROY | ||||
Please comment or provide details below to improve the information on MARTHA LLOYD CRF BROOKSIDE.
| 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.