MARTHA LLOYD CRF COPPERTREE


Address: 20 Ballard St, Troy, PA 16947-1002
Phone: 5702972185

MARTHA LLOYD CRF COPPERTREE (NPI# 1528229804) 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) 1528229804
Entity Type Organization
Organization Name MARTHA LLOYD CRF COPPERTREE
Practice Address 20 Ballard St
Troy
PA 16947-1002
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 2008-06-19
Last Update Date 2008-06-19
Authorized Official Name WILLIAM MILLER (DIRECTOR)
Authorized Official Telephone 5702972185
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 202850 PA Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
PA 1015544810023 05

Office Location

Street Address 20 BALLARD ST
City TROY
State PA
Zip Code 16947-1002

Providers in the same zip code

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
1407010986 Martha Lloyd Crf Brookside Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 70 Ballard St, Troy, PA 16947 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
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
Find all providers in zip 16947

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
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
1407010986 Martha Lloyd Crf Brookside Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 70 Ballard St, Troy, PA 16947 2008-07-15
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
Find all providers in TROY

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City TROY
Zip Code 16947

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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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