PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES


Address: 827 Oley Valley Rd, White Haven, PA 18661-3043
Phone: 5704434266

PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES (NPI# 1760465454) 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) 1760465454
Entity Type Organization
Organization Name PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES
Other Organization Name WHITE HAVEN CENTER
Practice Address 827 Oley Valley Rd
White Haven
PA 18661-3043
Practice Telephone 5704434266
Practice Fax Number 5704434263
Mailing Telephone 5704434266
Mailing Fax Number 5704434263
Enumeration Date 2005-11-28
Last Update Date 2015-09-29
Authorized Official Name PATTI A. EISNER (ADMINISTRATOR)
Authorized Official Telephone 7177052774
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
PA 100308518 05

Other Provider/Organization Names

Other Name Type Code
White Haven Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1790768471 Pennsylvania Department of Human Services Pharmacy 33 Main Dr, North Warren, PA 16365-5001 2005-11-28
1376526111 Pennsylvania Department of Human Services Pharmacy State Route 1014, Torrance, PA 15779-0111 2005-11-25
1851374698 Pennsylvania Department of Human Services Intermediate Care Facility, Mentally Retarded 1 Lakewood Circle, Polk, PA 16342 2005-11-25
1295718039 Pennsylvania Department of Human Services Nursing Facility/Intermediate Care Facility 10058 S Mountain Rd, South Mountain, PA 17261-0900 2005-11-25
1457334336 Pennsylvania Department of Human Services Pharmacy 50 Kirkbride Dr, Danville, PA 17821-8630 2005-11-23
1447233424 Pennsylvania Department of Human Services Pharmacy 1451 Hillside Dr, Clarks Summit, PA 18411-9504 2005-11-23
1447233317 Pennsylvania Department of Human Services Psychiatric Hospital 1001 Sterigere St, Norristown, PA 19401-5300 2005-11-23
1437132651 Pennsylvania Department of Human Services Intermediate Care Facility, Mentally Retarded 3560 Old Rte 22, Hamburg, PA 19526 2005-11-22
1508849738 Pennsylvania Department of Human Services Intermediate Care Facility, Mentally Retarded 1000 Us Highway 522, Selinsgrove, PA 17870-8707 2005-11-22
1154304483 Pennsylvania Department of Human Services Intermediate Care Facility, Mentally Retarded 4051 Admiral Peary Hwy, Ebensburg, PA 15931-4332 2005-11-21

Office Location

Street Address 827 OLEY VALLEY RD
City WHITE HAVEN
State PA
Zip Code 18661-3043

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871514620 White Haven Center Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 827 Oley Valley Rd, White Haven, PA 18661-3043 2006-07-21
1467471839 Louis J Delgatto Family Medicine 827 Oley Valley Rd, White Haven, PA 18661-3043 2006-07-18
1548295637 Asmita C Shah Internal Medicine 827 Oley Valley Rd, White Haven, PA 18661-3043 2006-07-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093901555 Sylvia L Lafair Psychologist 45 Country Place Lane, White Haven, PA 18661 2007-09-19
1124235403 Andrea Marie Patrick Pharmacist 2 Main Street, White Haven, PA 18661 2007-05-17
1831557529 Judith Kovack Speech-Language Pathologist 620 Towanda St, White Haven, PA 18661-1217 2016-02-09
1932352234 Francis Michael Glushefski Dentist 414 Lehigh Street, White-haven, PA 18661-1222 2008-10-30
1679862080 Bethann Feist Pharmacist 501 Main St, Suite 2, White Haven, PA 18661-1513 2011-04-06
1437249554 Rite Aid of Pennsylvania LLC Durable Medical Equipment & Medical Supplies 501 Main Street, White Haven, PA 18661-1513 2006-10-13
1801102108 Lesley Ann Mcdermott Speech-Language Pathologist 330 Towanda Street, White Haven, PA 18661-1515 2010-08-24
1104042019 White Haven Rescue Unit, Inc. Ambulance 500 Towanda St # 502, White Haven, PA 18661-1519 2007-04-18
1851711394 Rose Firdous Massage Therapist 201 Northumberland St # 1, White Haven, PA 18661-1524 2014-04-23
1417295122 Zenia Gimenez Villafuerte Physical Therapist 22 Brookside Dr, White Haven, PA 18661-2724 2013-01-30
Find all providers in zip 18661

Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821565029 Martha Lloyd Intermediate Care Facility Intermediate Care Facility, Mentally Retarded 76 Coppertree Ln, Troy, PA 16947 2018-10-26
1609327469 Barc Developmental Services Intermediate Care Facility, Mentally Retarded 229 N Hellertown Ave, Quakertown, PA 18951 2016-10-17
1124407309 Communities of Don Guanella and Divine Providence Intermediate Care Facility, Mentally Retarded 1745 S. Sproul Rd, Springfield, PA 19064 2015-05-21
1477932655 Communities of Don Guanella and Divine Providence Intermediate Care Facility, Mentally Retarded 1755 S. Sproul Rd, Springfield, PA 19064 2015-05-21
1003295288 Communities of Don Guanella and Divine Providence Intermediate Care Facility, Mentally Retarded 1765 S. Sproul Rd, Springfield, PA 19064 2015-05-21
1336531508 Communities of Don Guanella and Divine Providence Intermediate Care Facility, Mentally Retarded 8538 Frankford Ave, Philadelphia, PA 19136-2032 2015-02-25
1982009254 Communities of Don Guanella and Divine Providence Intermediate Care Facility, Mentally Retarded 225 Upland Road, Brookhaven, PA 19015 2014-10-29
1811306038 Communities of Don Guanella and Divine Providence Intermediate Care Facility, Mentally Retarded 813 W Rolling Rd, Springfield, PA 19064-1122 2014-08-13
1972911337 Communities of Don Guanella and Divine Providence Intermediate Care Facility, Mentally Retarded 4317 Bethel Rd, Upper Chichester, PA 19061-2710 2014-07-30
1245658228 Communities of Don Guanella and Divine Providence Intermediate Care Facility, Mentally Retarded 940 Fairview Rd, Swarthmore, PA 19081-2913 2014-04-07
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Competitor

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City WHITE HAVEN
Zip Code 18661

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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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