FCC ALLENWOOD (NPI# 1699902783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699902783 |
| Entity Type | Organization |
| Organization Name | FCC ALLENWOOD |
| Other Organization Name | FEDERAL BUREAU OF PRISONS |
| Practice Address |
Route 15 Russell Road Allenwood PA 17810-2500 |
| Mailing Address |
Po Box 2500 Route 15, 2 Miles North White Deer PA 17887-2500 |
| Practice Telephone | 5705477950 |
| Practice Fax Number | 5705477710 |
| Mailing Telephone | 5705477950 |
| Mailing Fax Number | 5705477710 |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |
| Authorized Official Name | MR. RONALD A LAINO (HEALTH SERVICE ADMINISTRATOR) |
| Authorized Official Telephone | 5705477950 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Federal Bureau of Prisons | Other Name - Individual/Organization |
| Street Address |
ROUTE 15 RUSSELL ROAD |
| City | ALLENWOOD |
| State | PA |
| Zip Code | 17810-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881214534 | Stacy Janel White | Social Worker | Rt. 15, 2 Miles North of Allenwood, White Deer, PA 17810 | 2020-04-23 |
| 1518505098 | Federal Correctional Complex | Clinic/Center | Route 15.2 Mi N. of Allenwood, Allenwood, PA 17810 | 2019-12-16 |
| 1124594320 | Richard Andrew Andreuzzi | Physician Assistant | 2 Us-15, Allenwood, PA 17810 | 2018-10-16 |
| 1841664554 | Charles Patrick Craig | Physician Assistant | Route 15 2 Miles North of Allenwood, Allenwood, PA 17810 | 2015-11-18 |
| 1154310159 | Zell Y Moyer | Nurse Anesthetist, Certified Registered | 66 Enterprise Blvd, Allenwood, PA 17810 | 2005-10-21 |
| 1457848780 | Michaeleen Powanda | Physician Assistant | Route 15 2 Miles North of Allenwood, Allenwood, PA 17810 | 2018-04-23 |
| 1184111403 | Stacey Barkauskas | Dentist | Route 15, 2 Miles North of Allenwood, Allenwood, PA 17810 | 2018-04-23 |
| 1720208010 | Shadi Duchesne | Psychiatry & Neurology | 360 White Deer Run Road, Allenwood, PA 17810 | 2007-04-27 |
| 1316076060 | Brian Oliver Buschman | Family Medicine | Us 15 - 2 Miles North of Allenwood, Allenwood, PA 17810-0000 | 2007-03-05 |
| 1326031022 | White Deer Run LLC | Clinic/Center | 360 White Deer Run Road, Allenwood, PA 17810-0097 | 2005-08-26 |
| Find all providers in zip 17810 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557978 | Sheltering Arms Lean On We | Custodial Care Facility | 469 Alcott St, Philadelphia, PA 19120-1101 | 2020-08-07 |
| 1104462985 | Better Life Home Care Group | Custodial Care Facility | 233 Sherbrook Blvd, Upper Darby, PA 19082-4606 | 2019-11-27 |
| 1649675257 | Life Force Eldercare Corp | Custodial Care Facility | 3544 W Chester Pike, Suite 216, Newtown Square, PA 19073-4107 | 2014-10-24 |
| 1528495595 | Thomas C Detweiler,md | Custodial Care Facility | 2405 N Broad St, Colmar, PA 18915-9406 | 2013-10-04 |
| 1922324649 | Companions for You, Inc. | Custodial Care Facility | 6124 W Jefferson St, Philadelphia, PA 19151-3902 | 2010-04-20 |
| 1295982585 | Precious Moments Personal Care Home, Inc. | Custodial Care Facility | 245 Center Street, Clarksville, PA 15322 | 2008-08-19 |
| 1790949030 | Rolls Personal Care Home | Custodial Care Facility | 47 River Ave, Masontown, PA 15461-1963 | 2008-07-16 |
| 1184888083 | The Good Samaritan | Custodial Care Facility | 450 Crucible Rd, Rices Landing, PA 15357-2151 | 2008-07-10 |
| 1851562870 | Haneys Personal Care Home | Custodial Care Facility | 330 Carmichaels St, Rices Landing, PA 15357-2155 | 2008-03-18 |
| 1326253055 | Congregation of The Mission | Custodial Care Facility | 500 E Chelten Ave, Philadelphia, PA 19144-1203 | 2007-05-14 |
| Find all providers with the same taxonomy | ||||
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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.