FRIENDSHIP COMMUNITY (NPI# 1417170259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417170259 |
| Entity Type | Organization |
| Organization Name | FRIENDSHIP COMMUNITY |
| Practice Address |
30 Clearview Drive Lebanon PA 17042-7924 |
| Mailing Address |
1149 East Oregon Road Lititz PA 17543-9028 |
| Practice Telephone | 7176562466 |
| Practice Fax Number | 7176560459 |
| Mailing Telephone | 7176562466 |
| Mailing Fax Number | 7176560459 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MYRON BRETT STONER (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 7176562466 |
| 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 | 334470 | PA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871820654 | Friendship Community | Intermediate Care Facility, Mentally Retarded | 1159 E Oregon Rd, Lititz, PA 17543-8366 | 2009-11-16 |
| 1881884435 | Friendship Community | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 304 Fairview Dr, Lititz, PA 17543-8669 | 2007-07-30 |
| 1649471376 | Friendship Community | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6321 Jackson Dr, East Petersburg, PA 17520-1117 | 2007-05-30 |
| 1558562280 | Friendship Community | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 819 Pointview Ave, Ephrata, PA 17522-2324 | 2007-05-30 |
| 1538360268 | Friendship Community | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2436 Willow Glen Dr, Lancaster, PA 17602-1438 | 2007-05-30 |
| 1184825218 | Friendship Community | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 324 Manor Ave, Millersville, PA 17551-1118 | 2007-05-29 |
| 1215138318 | Friendship Community | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 453 Hostetter Dr, Millersville, PA 17551-1417 | 2007-05-29 |
| 1558562686 | Friendship Community | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2139 Horseshoe Rd, Lancaster, PA 17601-6005 | 2007-05-29 |
| 1477764264 | Friendship Community | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 164 Landis Dr, Lancaster, PA 17602-3848 | 2007-05-24 |
| 1568673358 | Friendship Community | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1144 Sheep Hill Rd, New Holland, PA 17557-9572 | 2007-05-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FRIENDSHIP COMMUNITY | 1149 E Oregon Rd, Lititz, PA 17543-8366 |
| Colorado Business Entities | FRIENDSHIP COMMUNITY ASSEMBLY OF GOD | 96 Central Ave., Dolores, CO 81323 |
| System for Award Management (SAM) Entities | FRIENDSHIP COMMUNITY CARE BEHAVIORAL HEALTH SYSTEMS | 920 N University Dr, Russellville, AR 72801-4303 |
| New York State Corporations | FRIENDSHIP COMMUNITY CHURCH | NEW YORK |
| North Carolina Corporations | Friendship Community Church | 902 Rotary Dr, High Point, NC 27262 |
| Oklahoma Business Registrations | FRIENDSHIP COMMUNITY CHURCH, INC. | 36830 W Hwy 51, Mannford, OK 74044 |
| New York State Corporations | FRIENDSHIP COMMUNITY DEVELOPMENT CORPORATION | 407-409 Union Street, Schenectady, New York 12305 |
| System for Award Management (SAM) Entities | FRIENDSHIP COMMUNITY WATER SYSTEM, INCORPORATED | 104 Commerce St, Mccomb, MS 39648-3631 |
| Street Address |
30 CLEARVIEW DRIVE |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| 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 |
|---|---|---|---|---|
| 1104426667 | Highest Expectations LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 25 W South St, Lebanon, OH 45036-2127 | 2020-10-26 |
| 1255678157 | Renew Consulting, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1555 Post St, Lebanon, OR 97355-4060 | 2013-01-11 |
| 1205050341 | Maureen Margaret Stull | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1560 S Nixon Camp Rd, Lebanon, OH 45036-9638 | 2007-04-12 |
| 1013973759 | Wilkinson Pharmacy, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 143 West Elm, Lebanon, MO 65536-3517 | 2006-04-21 |
| 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 |
| 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.