ABUNDANT LIVING AT PETERSONS INC


Address: 3884 East St, Pittsburgh, PA 15214-2029
Phone: 4122317866

ABUNDANT LIVING AT PETERSONS INC (NPI# 1407369408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407369408
Entity Type Organization
Organization Name ABUNDANT LIVING AT PETERSONS INC
Practice Address 3884 East St
Pittsburgh
PA 15214-2029
Practice Telephone 4122317866
Enumeration Date 2017-11-13
Last Update Date 2017-11-22
Authorized Official Name KENNETH PETERSON (CEO CFO)
Authorized Official Telephone 4122317866
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 164W00000X Licensed Practical Nurse Nursing Service Providers
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities CER-00114910 PA Residential Treatment Facilities

Office Location

Street Address 3884 EAST ST
City PITTSBURGH
State PA
Zip Code 15214-2029

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871006999 Yvonne Peterson Licensed Practical Nurse 3884 East St, Pittsburgh, PA 15214-2029 2017-11-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912454539 Krysta Bianchi Counselor 248 Bonvue St, Pittsburgh, PA 15214 2016-09-01
1841615523 Rachel Hirnyk Occupational Therapist 82 Bascom Ave, Pittsburgh, PA 15214 2014-03-04
1467609230 Kathleen Ann Lybarger Social Worker Vaphs H. J. Heinz Progressive Care Center, Delafield Rd., Pittsburgh, PA 15214 2008-08-25
1003974692 Melvin P Melnick Psychiatry & Neurology 530 Marshall Ave., Pittsburgh, PA 15214 2006-12-05
1881776177 Courtney Dumont Pharmacist 3900 Perrysville Avenue, Pittsburgh, PA 15214 2006-10-19
1053584557 Pressley Ridge Foster Care Agency 757 Maginn St, Pittsburgh, PA 15214-0000 2008-04-07
1730352261 Pressley Ridge Residential Treatment Facility, Emotionally Disturbed Children 2114 Mount Ford Avenue, Pittsburgh, PA 15214-0000 2008-04-04
1881936359 Metropolitan Emergency Services Ambulance 217 Jacks Run Rd, Pittsburgh, PA 15214-1045 2013-03-22
1447681820 Metropolitan Emergency Services Non-emergency Medical Transport (VAN) 217 Jacks Run Rd, Suite 3, Pittsburgh, PA 15214-1045 2013-12-10
1417505173 Claudia Elizabeth Neal Specialist/Technologist 67 Mazer St, Pittsburgh, PA 15214-1117 2019-08-27
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1851818116 Family Services United Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7111 Jonathan Pl, Pittsburgh, PA 15208-2419 2017-08-28
1912366758 Passavant Memorial Homes Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5 Foxwood Dr, Pittsburgh, PA 15238-2105 2016-02-22
1003155748 Lioness Community Care Corp Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1 Ppg Pl Fl 31, Pittsburgh, PA 15222-5415 2013-01-31
1851680375 Goodliving Community Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2007 Plainview Ave, Pittsburgh, PA 15226-1334 2011-04-05
1639207384 Resources for Human Development Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 106 Mcclelland Dr, Pittsburgh, PA 15238-1018 2007-03-02
1043348790 Resources for Human Development Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8230 Remington Dr, Pittsburgh, PA 15237-6239 2007-03-02
1215319256 Harmony Care Services LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8533 Frankstown Rd, Pittsburgh, PA 15235-1045 2015-06-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356940183 Kenccid Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9350 Ashton Rd Rm 202, Philadelphia, PA 19114-7402 2020-10-22
1952908618 Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 604 Glen Circle Dr, Tobyhanna, PA 18466-8300 2020-10-06
1598375305 Impactful Human Services LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1055 Westlakes Dr Ste 3003, Berwyn, PA 19312-2410 2020-08-06
1356969679 Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 100 Genuardi Circle, West Chester, PA 19380 2020-07-13
1437775442 The Arc of Crawford County, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 222 Chestnut St, Meadville, PA 16335-3407 2020-06-25
1568094142 Keystone Community Resources, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1768 Mcdonough Ave, Scranton, PA 18508-1566 2020-02-11
1114559267 Keystone Community Resources, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 336 Sheridan Ave, Clarks Summit, PA 18411-1458 2020-02-06
1619507332 Above & Beyond Berks LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1007 Saylor Dr, Temple, PA 19560-9587 2020-01-22
1700425287 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 639 N South Turnpike Rd, Newfoundland, PA 18445-5032 2019-12-31
1891331120 Gifted Hands Home Care Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1853 William Penn Way Ste 13, Lancaster, PA 17601-6713 2019-11-21
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Competitor

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City PITTSBURGH
Zip Code 15214

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Dataset Information

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.

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