CLEM-MAR HOUSE, INC. (NPI# 1417170549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417170549 |
Entity Type | Organization |
Organization Name | CLEM-MAR HOUSE, INC. |
Practice Address |
2860 State Route 309 Dallas PA 18612 |
Mailing Address |
P.o. Box 2028 Kingston PA 18704-7038 |
Practice Telephone | 5706741575 |
Practice Fax Number | 5706741588 |
Mailing Telephone | 5706741575 |
Mailing Fax Number | 5706741588 |
Enumeration Date | 2007-04-10 |
Last Update Date | 2018-08-15 |
Authorized Official Name | MAUREEN REIMILLER (PROJECT DIRECTOR) |
Authorized Official Telephone | 5702880403 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 407053 | PA | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 0016199680003 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578787776 | Clem-mar House, Inc. | Clinic/Center | 542 Main St, Edwardsville, PA 18704-2504 | 2007-04-12 |
1790908812 | Clem-mar House, Inc. | Substance Abuse Rehabilitation Facility | 540 Main St, Edwardsville, PA 18704-2504 | 2007-04-10 |
Street Address |
2860 STATE ROUTE 309 |
City | DALLAS |
State | PA |
Zip Code | 18612 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487009882 | Jacqueline Patricia O'brien | Occupational Therapist | 345 Lake Louise Rd, Dallas, PA 18612 | 2016-05-04 |
1164772927 | Katie M Ferguson | Pharmacist | 26 Dallas Shopping Center Memorial Highway, Dallas, PA 18612 | 2012-09-19 |
1619235892 | Crista Zern | Physical Therapist | 4 East Center Hill Road, Dallas, PA 18612 | 2012-04-25 |
1336423631 | Angela Mary Evans | Nurse Practitioner | 301 Lake Street, Misericordia University's Health & Wellness Center, Dallas, PA 18612 | 2011-10-05 |
1376835868 | Peter Frederick Casterline | Surgery | 5 Old Well Lane, Dallas, PA 18612 | 2011-05-03 |
1336386051 | Judy A Williams | Speech-Language Pathologist | 368 Tioga Avenue, Kingston, PA 18612 | 2009-01-16 |
1013195015 | Joseph John Kowalski | Psychiatry & Neurology | 2 Birch Hill Lane, Dallas, PA 18612 | 2008-02-01 |
1063621233 | Back Mountain Pediatrics | Clinical Medical Laboratory | 550 Memorial Highway, Dallas, PA 18612 | 2007-05-22 |
1760699177 | Leonard M Evans | Internal Medicine | 1806 Country Club Apartments, Dallas, PA 18612 | 2007-05-16 |
1407985179 | Thomas D Connors | Specialist/Technologist | 2000 Conyngham Ave., Dallas, PA 18612 | 2007-03-05 |
Find all providers in zip 18612 |
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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1427549724 | Arise Recovery Centers of America, LLC | Substance Abuse Rehabilitation Facility | 5440 Harvest Hill Rd Ste 230, Dallas, TX 75230-6424 | 2018-05-22 |
1538514294 | The Men of Nehemiah Inc. | Substance Abuse Rehabilitation Facility | 2010 Al Lipscomb Way, Dallas, TX 75215-2773 | 2016-05-02 |
1124124375 | Homeward Bound, Inc. | Substance Abuse Rehabilitation Facility | 233 West 10th Street, Dallas, TX 75208 | 2006-09-15 |
1184633141 | Clear Paths Inc | Substance Abuse Rehabilitation Facility | 171 Sw Court, Dallas, OR 97338 | 2006-08-07 |
1013952191 | The La Sima Foundation,inc | Substance Abuse Rehabilitation Facility | 777 S R L Thornton Fwy, Dallas, TX 75203-2956 | 2006-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
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1598385924 | Heuer House | Substance Abuse Rehabilitation Facility | 514 Monongahela Ave, Glassport, PA 15045-1425 | 2020-04-27 |
1851911523 | Enlightened Solutions Philadelphia,llc | Substance Abuse Rehabilitation Facility | 25 Bala Ave Ste 202, Bala Cynwyd, PA 19004-3215 | 2020-04-22 |
1588283832 | Summit Bhc Meadville LLC | Substance Abuse Rehabilitation Facility | 535 Williamson Rd, Meadville, PA 16335-2848 | 2020-04-15 |
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.