ADELPHOI VILLAGE, INC. (NPI# 1033376256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033376256 |
Entity Type | Organization |
Organization Name | ADELPHOI VILLAGE, INC. |
Practice Address |
1119 Village Way Latrobe PA 15650-5201 |
Practice Telephone | 7245201111 |
Practice Fax Number | 7245201878 |
Mailing Telephone | 7245201111 |
Mailing Fax Number | 7245201878 |
Enumeration Date | 2008-05-16 |
Last Update Date | 2020-08-24 |
Authorized Official Name | MICHELLE LEIGH HERSHBERGER (REVENUE CYCLE MANAGER) |
Authorized Official Telephone | 7248047193 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251K00000X | Public Health or Welfare | 423910 | PA | Agencies |
Y | 251S00000X | Community/Behavioral Health | 423910 | PA | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | VBH VENDOR ID - INDIANA | A747622 | 01 |
PA | 1007447300017 | 05 | |
PA | VBH VENDOR ID - MERCER | A979981 | 01 |
PA | CBHNP VENDOR ID - BLAIR/CUMBERLAND/PERRY | MST-5000744730 | 01 |
PA | VBH VENDOR ID - WESTMORELAND | A747622 | 01 |
PA | VBH VENDOR ID - ARMSTRONG | A747622 | 01 |
PA | VBH VENDOR ID - WASHINGTON | A747621 | 01 |
PA | VBH VENDOR ID - FAYETTE | A953496 | 01 |
PA | VBH VENDOR ID - GREENE | A747621 | 01 |
PA | VBH VENDOR ID - BEAVER | A154172 | 01 |
PA | VBH VENDOR ID - CAMBRIA | A882141 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013034750 | Adelphoi Village, Inc. | Psychologist | 1119 Village Way, Latrobe, PA 15650-5201 | 2007-03-26 |
1932226669 | Adelphoi Village, Inc. | Public Health or Welfare | 1501 Ligonier St, Latrobe, PA 15650-2912 | 2007-03-26 |
1053438788 | Adelphoi Village, Inc. | Psychiatric Residential Treatment Facility | 2862 Ligonier St, Latrobe, PA 15650-4218 | 2007-03-26 |
1255458139 | Adelphoi Village, Inc. | Psychiatric Residential Treatment Facility | 1145 Mission Rd, Latrobe, PA 15650-2824 | 2007-03-23 |
1700903697 | Adelphoi Village, Inc. | Psychiatric Residential Treatment Facility | 4309 State Route 49 W, Pob 1033, Harrison Valley, PA 16927-1224 | 2007-03-23 |
1184240129 | Adelphoi Village, Inc. | Public Health or Welfare | 1119 Village Way, Latrobe, PA 15650-5201 | 2020-06-24 |
1841317575 | Adelphoi Village, Inc. | Psychiatry & Neurology | 1119 Village Way, Latrobe, PA 15650-5201 | 2007-03-26 |
1114044849 | Adelphoi Village, Inc. | Psychiatric Residential Treatment Facility | 4309 State Route 49 W, Pob 1033, Harrison Valley, PA 16927-1224 | 2007-03-26 |
1023135753 | Adelphoi Village, Inc. | Psychiatric Residential Treatment Facility | 4309 State Route 49 W, Pob 1033, Harrison Valley, PA 16927-1224 | 2007-03-26 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ADELPHOI VILLAGE, INC. | 1119 Village Way, Latrobe, PA 15650-5201 |
Street Address |
1119 VILLAGE WAY |
City | LATROBE |
State | PA |
Zip Code | 15650-5201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013034750 | Adelphoi Village, Inc. | Psychologist | 1119 Village Way, Latrobe, PA 15650-5201 | 2007-03-26 |
1164033528 | Katelyn Irene Jakubovic | Counselor | 1119 Village Way, Latrobe, PA 15650-5201 | 2020-08-11 |
1184240129 | Adelphoi Village, Inc. | Public Health or Welfare | 1119 Village Way, Latrobe, PA 15650-5201 | 2020-06-24 |
1508983289 | Adelphoi Village | Counselor | 1119 Village Way, Latrobe, PA 15650 | 2007-03-26 |
1841317575 | Adelphoi Village, Inc. | Psychiatry & Neurology | 1119 Village Way, Latrobe, PA 15650-5201 | 2007-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841849429 | Diane Louise Gabler | Technician | 936 Unity Street, Latrobe, PA 15650 | 2019-09-06 |
1518529379 | Living Essential Coaching, LLC | Health Educator | 128 Innovative Lane, Latrobe, PA 15650 | 2019-07-02 |
1568931756 | Camille Velazquez | Psychologist | 5954 Pa-981, Latrobe, PA 15650 | 2018-11-16 |
1942713409 | Excela Health Physician Practices, Inc | Family Medicine | 100 Excela Health Drive, Latrobe, PA 15650 | 2017-11-07 |
1881048692 | Brittney Saxinger | Pharmacist | 200 Mountain Laurel Plz, Latrobe, PA 15650 | 2016-04-18 |
1316193832 | Michelle Sue Culler | Nurse Practitioner | 555 Rt. 217, Latrobe, PA 15650 | 2008-08-15 |
1558529420 | Dennis Blasiele | Dentist | 1015 Ligonier St, Latrobe, PA 15650 | 2008-05-28 |
1508053893 | Assisted Living Concepts Inc | Assisted Living Facility | 2021 James Street, Latrobe, PA 15650 | 2007-10-01 |
1144436734 | Mary Elizabeth Griffin | Psychologist | 2906 Ligonier St. Ext--911 Address, Latrobe, PA 15650 | 2007-05-14 |
1023230836 | Anna Marie Pianko | Physical Therapist | 535 Mcfarland Road, Latrobe, PA 15650 | 2007-05-02 |
Find all providers in zip 15650 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851633622 | Union Mission of Latrobe, Inc. | Community/Behavioral Health | 2217 Harrison Ave, Latrobe, PA 15650-3315 | 2013-03-20 |
1619232980 | Forensic Counseling Services | Community/Behavioral Health | 3664 Route 30, Latrobe, PA 15650-5208 | 2012-07-11 |
1821129602 | Westmoreland Casemanagement and Supports, Inc. | Community/Behavioral Health | 1004 Ligonier St, Second Floor, Latrobe, PA 15650-1824 | 2007-03-07 |
1477026839 | Evans Assessment and Consultation, LLC | Community/Behavioral Health | 805 S Alexandria St, Latrobe, PA 15650-1502 | 2019-01-09 |
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1417557174 | Kensington Hospital Non Hospital Short Term/long Term Rehab | Community/Behavioral Health | 136 W. Diamond St, Philadelphia, PA 19122-1721 | 2020-10-30 |
1699373415 | Maternity Care Coalition | Community/Behavioral Health | 401 Dekalb St, Norristown, PA 19401-4909 | 2020-10-14 |
1558969741 | Centerville Clinics Inc | Community/Behavioral Health | Centerville Clinics-intensive Behavioral Health Service, 37 Highland Avenue, Washington, PA 15301-4062 | 2020-10-12 |
1023624202 | Allied Health Care Services | Community/Behavioral Health | 1124 Scott St, Wilkes Barre, PA 18705-3737 | 2020-09-22 |
1518573708 | Mental Health Solution | Community/Behavioral Health | 2671 Darlington Rd, Beaver Falls, PA 15010-1280 | 2020-09-22 |
1629684584 | Peace & Clarity Counseling LLC | Community/Behavioral Health | 1 E Broad St Ste 130-1096, Bethlehem, PA 18018-5913 | 2020-09-16 |
1548874746 | Room 2 Grow, LLC | Community/Behavioral Health | 7500 Brooktree Rd Ste 201, Wexford, PA 15090-9285 | 2020-09-04 |
1134733819 | Keeping It Real Counseling, LLC | Community/Behavioral Health | 2937 Route 611 Unit 9a, Tannersville, PA 18372-6000 | 2020-09-01 |
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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.