MARTHA LLOYD CRF 3RD STREET (NPI# 1861656340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861656340 |
| Entity Type | Organization |
| Organization Name | MARTHA LLOYD CRF 3RD STREET |
| Practice Address |
60 3rd St Mansfield PA 16933-1221 |
| Mailing Address |
190 W Main St Troy PA 16947-1131 |
| Practice Telephone | 5702972185 |
| Practice Fax Number | 5702972185 |
| Mailing Telephone | 5702972185 |
| Mailing Fax Number | 5702971019 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |
| Authorized Official Name | WILLIAM MILLER (DIRECTOR) |
| Authorized Official Telephone | 5702972185 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1015544810034 | 05 |
| Street Address |
60 3RD ST |
| City | MANSFIELD |
| State | PA |
| Zip Code | 16933-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174937916 | Kyle Ungvarsky | Family Medicine | 416 South Main Street, Mansfield, PA 16933 | 2014-06-19 |
| 1144451121 | Wellspring Community Support Services, Inc. | Clinic/Center | 3rd & St. James Street, St. James Complex #206b, Mansfield, PA 16933 | 2009-08-07 |
| 1417193707 | Roger Mark Stager | Dentist | 17 N Main St., Mansfield, PA 16933 | 2008-12-17 |
| 1477700185 | David Michael August | Psychiatry & Neurology | 103 A St James Place, Mansfield, PA 16933 | 2008-08-25 |
| 1043472525 | Martha Lloyd Crf Atf Trans | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Saint James Pl, Mansfield, PA 16933 | 2008-06-26 |
| 1518161520 | Elite Therapy PC | Physical Therapist | 285 South Main St., Mansfield, PA 16933 | 2007-06-13 |
| 1659591949 | Tioga County Dept of Human Services | Community/Behavioral Health | St James & Third Street, St James Complex Suite 103a, Mansfield, PA 16933 | 2007-04-27 |
| 1487779880 | Tioga County Dept of Human Services | Community/Behavioral Health | St. James & Third St., Mansfield, PA 16933 | 2007-03-21 |
| 1760507586 | Tioga County Dept of Human Services | Community/Behavioral Health | St. James Place Bldg. A, Mansfield, PA 16933 | 2007-03-20 |
| 1497895783 | Christopher David Jones | Physical Therapist | 285 S Main St, Mansfield, PA 16933 | 2007-02-07 |
| Find all providers in zip 16933 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083074199 | Martha Lloyd Community Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2954 Route 660, Mansfield, PA 16933-9024 | 2016-03-02 |
| 1518326198 | Martha Lloyd Community Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 84 7th St, Mansfield, PA 16933-1209 | 2016-02-11 |
| 1598169369 | A Nola Residential Service, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1851 Newt Patterson, Mansfield, TX 76063 | 2014-10-22 |
| 1801124284 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 167 Poole Rd, Mansfield, LA 71052-5007 | 2009-11-24 |
| 1710215264 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Gibbs St, Mansfield, LA 71052-2618 | 2009-11-20 |
| 1891932398 | Richland County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 592 Evelyn Ave, Mansfield, OH 44907 | 2009-01-21 |
| 1326202771 | Martha Lloyd Crf Fla Mansfield | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Pickle Hill Rd, Mansfield, PA 16933-9654 | 2008-07-15 |
| 1043472525 | Martha Lloyd Crf Atf Trans | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Saint James Pl, Mansfield, PA 16933 | 2008-06-26 |
| 1881855427 | Martha Lloyd Crf 1st Street | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 41 1st St, Mansfield, PA 16933-1211 | 2008-06-17 |
| 1477740520 | County of Richland | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 786 Ferndale Rd, Mansfield, OH 44907-1757 | 2007-10-02 |
| Find all providers in MANSFIELD | ||||
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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.