SNUG HARBOR REHABILITATION AND RECOVERY LLC (NPI# 1689230674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689230674 |
Entity Type | Organization |
Organization Name | SNUG HARBOR REHABILITATION AND RECOVERY LLC |
Practice Address |
4638 E Lake Rd Erie PA 16511-1410 |
Mailing Address |
4635 E Lake Rd Erie PA 16511-1410 |
Practice Telephone | 8146168030 |
Practice Fax Number | 8149209233 |
Mailing Telephone | 8146168030 |
Mailing Fax Number | 8149209233 |
Enumeration Date | 2019-05-15 |
Last Update Date | 2019-06-21 |
Authorized Official Name | MS. DEBORAH MESSINA (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8146168030 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | PA DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS | 257088 | 01 |
Street Address |
4638 E LAKE RD |
City | ERIE |
State | PA |
Zip Code | 16511-1410 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467701359 | Debbie Marie Marche | Licensed Practical Nurse | 852 Newton Ave, Erie, PA 16511 | 2012-09-06 |
1164781456 | Kevin D. Deuel | Licensed Practical Nurse | 755 Napier Ave.., Erie, PA 16511 | 2012-05-08 |
1104827617 | William Rudolph Phelps | Surgery | 101 Walten Point, Erie, PA 16511 | 2005-08-09 |
1700884632 | Jennifer Amy Kilgas | Physical Therapist | Trac Rehab East, 4403 Iroguois Ave, Erie, PA 16511 | 2005-07-13 |
1174910855 | Mary Rudolph | Counselor | 4190 E Lake Rd, Erie, PA 16511 | 2015-04-21 |
1891794699 | David Jon Markiewicz | Physical Therapist | Trac Rehab East, 4403 Iroquois Ave, Erie, PA 16511 | 2005-07-14 |
1699773523 | Karen Ann Zielinski | Physical Therapist | Trac Rehab East, 4403 Iroquois Ave, Erie, PA 16511 | 2005-07-13 |
1326151432 | East Lake Pharmacy Inc | Pharmacy | 1896 E Lake Rd, Erie, PA 16511-1072 | 2006-08-16 |
1497030142 | Barbara Anne Thompson | Registered Nurse | 402 Euclid Ave, Erie, PA 16511-1126 | 2011-10-13 |
1669821518 | Christopher Sedgwick | Pharmacist | 2684 Lakeside Dr, Erie, PA 16511-1252 | 2016-06-10 |
Find all providers in zip 16511 |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457490435 | Erie City Mission - Hope Center | Substance Abuse Rehabilitation Facility | 1017 French St., Erie, PA 16501-2003 | 2007-02-06 |
1922180652 | Gaudenzia Erie Inc. | Substance Abuse Rehabilitation Facility | 414 W 5th St, Erie, PA 16507-1214 | 2006-10-20 |
1952316705 | Gage House, Lp | Substance Abuse Rehabilitation Facility | 1813 Holland Street, Erie, PA 16503 | 2006-07-30 |
1841291044 | Gateway Rehabilitation Center-erie | Substance Abuse Rehabilitation Facility | 1928 Wager Rd, Erie, PA 16509-4054 | 2005-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861016867 | Matthew Alexander Walukonis | Substance Abuse Rehabilitation Facility | 933 S Queen St, York, PA 17403-3935 | 2020-06-04 |
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 |
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 |
1053874230 | Providence Living LLC | Substance Abuse Rehabilitation Facility | 355 Lancaster Ave Ste 303, Haverford, PA 19041-1502 | 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.