COMMUNITY RESIDENTIAL SERVICES, INC. (NPI# 1437400751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437400751 |
| Entity Type | Organization |
| Organization Name | COMMUNITY RESIDENTIAL SERVICES, INC. |
| Practice Address |
1360 1/2 4th St Monongahela PA 15063-1970 |
| Practice Telephone | 7242582934 |
| Practice Fax Number | 7242582936 |
| Mailing Telephone | 7242582934 |
| Mailing Fax Number | 7242582936 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |
| Authorized Official Name | MR. GARRY MCGRATH (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4122987778 |
| Authorized Official Credential | MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
433901 | PA | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588719769 | Community Residential Services, Inc. | Day Training, Developmentally Disabled Services | 151 N. Michigan St., Suite 217, Toledo, OH 43604-6941 | 2007-01-25 |
| Street Address |
1360 1/2 4TH ST |
| City | MONONGAHELA |
| State | PA |
| Zip Code | 15063-1970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457902009 | Joan Romaine Wilkerson | Technician | 46 West Euclid Ave, Monongahela, PA 15063 | 2019-09-25 |
| 1700217361 | Dion Kong | Occupational Therapist | 1277 Country Club Road, Havencrest Nursing Center, Monongahela, PA 15063 | 2013-12-09 |
| 1861708414 | Pieter H Heemstra | Dentist | 100 Alexander Avenue, Monongahela, PA 15063 | 2010-08-20 |
| 1043530959 | Thumrong Boonvisudhi | Pediatrics | 23 Carroll Way, Monongahela, PA 15063 | 2010-06-03 |
| 1174629901 | Mon City Chiropractic Clinic, PC | Chiropractor | 1230 West Main Street, Monongahela, PA 15063 | 2006-09-16 |
| 1407952856 | Charles Lomago Jr. | Family Medicine | 447 West Main Street, Monongahela, PA 15063 | 2006-09-15 |
| 1790899714 | Mon-valley Ekg Associates | Nuclear Medicine | Country Club Rd, Monongahela Valley Hospital, Monongahela, PA 15063 | 2006-08-18 |
| 1730198409 | Stacy Ann Chandler | Dental Hygienist | 173 West Main St, Monongahela, PA 15063 | 2006-08-05 |
| 1962411637 | Randall Gabriel Rodriguez | Dentist | 173 W Main Street, Monongahela, PA 15063 | 2006-08-05 |
| 1265426266 | Ronald A Lutes | Internal Medicine | 100 Stoops Dr Ste 200, Monongahela, PA 15063 | 2005-09-06 |
| Find all providers in zip 15063 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525395 | Sakeia Cyrell Leggett | Assisted Living Facility | 374 Devereaux Ave, Philadelphia, PA 19111-6023 | 2020-07-11 |
| 1467079319 | On-site Companionship Services LLC | Assisted Living Facility | 1425 Oberlin St, Pittsburgh, PA 15206-1957 | 2020-06-26 |
| 1649768219 | Accessible Community Living Group | Assisted Living Facility | 508 E Brinton St, Philadelphia, PA 19144-1005 | 2018-04-28 |
| 1316310410 | Allied Healthcare Services | Assisted Living Facility | 820 Mahantongo St, Pottsville, PA 17901-3023 | 2015-11-11 |
| 1033471636 | Allied Healthcare Services | Assisted Living Facility | 12 Mix Ave, Towanda, PA 18848-1948 | 2012-06-11 |
| 1437394509 | Kidspeace National Centers Inc | Assisted Living Facility | 301 Broadway Ste 4b, Bethlehem, PA 18015-1559 | 2008-12-03 |
| 1184882805 | Mount Trexler Manor | Assisted Living Facility | 5201 Saint Josephs Road, Limeport, PA 18060-0010 | 2008-05-29 |
| 1598922858 | Stabon Manor PCh, Inc | Assisted Living Facility | 1555 Haak St, Reading, PA 19602-2212 | 2008-05-22 |
| 1396734398 | Allied Healthcare Services | Assisted Living Facility | 108 Eliza St, Scranton, PA 18508-1003 | 2005-10-21 |
| 1205111747 | Pathways of Sw Pa, Inc | Assisted Living Facility | 190 N Main St, Washington, PA 15301-4349 | 2011-10-17 |
| Find all providers with the same taxonomy | ||||
| City | MONONGAHELA |
| Zip Code | 15063 |
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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.