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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 100308518 | 05 |
Other Name | Type Code |
---|---|
White Haven Center | Doing Business As Name - Organization |
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 |
Street Address |
827 OLEY VALLEY RD |
City | WHITE HAVEN |
State | PA |
Zip Code | 18661-3043 |
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 |
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 Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(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). |
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 |
Find all providers with the same taxonomy |
City | WHITE HAVEN |
Zip Code | 18661 |
Please comment or provide details below to improve the information on PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES.
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.