GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA (NPI# 1558485367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558485367 |
| Entity Type | Organization |
| Organization Name | GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA |
| Other Organization Name | BENTON COTTAGE |
| Practice Address |
233 George Junior Road Grove City PA 16127 |
| Mailing Address |
Po Box 1058 233 George Junior Road Grove City PA 16127-5058 |
| Practice Telephone | 7244589330 |
| Mailing Telephone | 7244589330 |
| Mailing Fax Number | 7244580389 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RICHARD L. LOSASSO (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7244589330 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0014522190005 | 05 |
| Other Name | Type Code |
|---|---|
| Benton Cottage | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326163569 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 1114 Walker Ln, Vandergrift, PA 15690-8121 | 2007-03-20 |
| 1679698823 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 1924 State Route 66, Greensburg, PA 15601-9282 | 2007-03-20 |
| 1134244080 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | R D 4 Townville Road, Guys Mills, PA 16327 | 2007-03-20 |
| 1407971641 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 17 Leesburg Station Rd, New Wilmington, PA 16142-1901 | 2007-03-20 |
| 1083738884 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-19 |
| 1326163817 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-21 |
| 1316062854 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-21 |
| 1740305184 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-21 |
| 1730204173 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-21 |
| 1730204611 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-20 |
| Street Address |
233 GEORGE JUNIOR ROAD |
| City | GROVE CITY |
| State | PA |
| Zip Code | 16127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083738884 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-19 |
| 1326163817 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-21 |
| 1316062854 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-21 |
| 1740305184 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-21 |
| 1730204173 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-21 |
| 1730204611 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-20 |
| 1366567141 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-20 |
| 1104941376 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-20 |
| 1457476657 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-20 |
| 1841315066 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907079 | Elaine Black Timko | Counselor | 113d North Broad Street, Grove City, PA 16127 | 2020-03-17 |
| 1457898082 | Jeffrey Ewell Scott | Speech-Language Pathologist | 435 Broad Street, Grove City, PA 16127 | 2017-01-20 |
| 1053651745 | Delta Foot and Ankle Center, LLC | Podiatrist | 247 N Broad Street Ext, Suite 204, Grove City, PA 16127 | 2013-02-18 |
| 1770786451 | Angela Dee Wells | Speech-Language Pathologist | 120 South Broad Street, Suite A, Grove City, PA 16127 | 2007-06-08 |
| 1780705202 | Cynthia Ann Ellermeyer | Speech-Language Pathologist | Grove City Medical Center, 631 North Broad St Ext, Grove City, PA 16127 | 2007-04-02 |
| 1932264058 | Alotad, Inc. | Durable Medical Equipment & Medical Supplies | 49 Pine Grove Pl., Grove City, PA 16127 | 2006-12-27 |
| 1396818233 | Thomas William Lah | Dentist | 1235 South Center S. Ext, Suite 935, Grove City, PA 16127 | 2006-11-16 |
| 1275619777 | Donald Harold Wykoff | Psychologist | 1049 Slippery Rock Rd, Grove City, PA 16127 | 2006-10-27 |
| 1336235100 | James W Eaton II | Dentist | 407 N Broad St, Grove City, PA 16127 | 2006-10-05 |
| 1245231273 | Melinda Collmus | Social Worker | 101 Breckenridge Street, Grove City, PA 16127 | 2005-08-01 |
| Find all providers in zip 16127 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083738884 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-19 |
| 1720446156 | Rene Rivera | Community Based Residential Treatment Facility, Mental Illness | 5665 Hoover Rd, Grove City, OH 43123-9122 | 2016-01-30 |
| 1326163817 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-21 |
| 1316062854 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-21 |
| 1740305184 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-21 |
| 1730204173 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-21 |
| 1730204611 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-20 |
| 1366567141 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-20 |
| 1104941376 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-20 |
| 1457476657 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-20 |
| Find all providers in GROVE CITY | ||||
| City | GROVE CITY |
| Zip Code | 16127 |
Please comment or provide details below to improve the information on GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA.
| 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.