COATESVILLE VAMC (NPI# 1043670516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043670516 |
| Entity Type | Organization |
| Organization Name | COATESVILLE VAMC |
| Other Organization Name | COATESVILLE VA CARE SITE |
| Practice Address |
1400 Blackhorse Hill Rd 04-c Coatesville PA 19320-2040 |
| Mailing Address |
Po Box 3003 Lebanon PA 17042-3003 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| COATESVILLE VA CARE SITE | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669410635 | Coatesville Vamc | Clinic/Center | 11 Independence Dr, Spring City, PA 19475-1239 | 2006-06-03 |
| 1932146891 | Coatesville Vamc | Clinic/Center | 4883 West Chester Pike, Newton Square, PA 19073 | 2006-06-01 |
| 1669422192 | Coatesville Vamc | Medicare Defined Swing Bed Unit | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2006-05-12 |
| 1790743706 | Coatesville Vamc | Department of Veterans Affairs (VA) Pharmacy | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2006-05-02 |
| Street Address |
1400 BLACKHORSE HILL RD 04-C |
| City | COATESVILLE |
| State | PA |
| Zip Code | 19320-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926177 | Julia Ann Stone | Psychologist | 1400 Blackhorse Hill Rd, Coatesville Va Medical Center, Coatesville, PA 19320-2040 | 2005-07-20 |
| 1700485356 | Abegale Lizabeth Nelson | Pharmacist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2020-10-23 |
| 1427657154 | Amy Andreaggi | Pharmacist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2020-10-23 |
| 1710592464 | Maura Marchese | Social Worker | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2020-09-10 |
| 1902441157 | Ashley Sutton | Psychologist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2019-11-12 |
| 1548823339 | Brent Jeffery Jenkins | Pharmacist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2019-04-17 |
| 1689237646 | Allison Webster | Pharmacist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2019-04-16 |
| 1063984086 | Gina Lucchesi | Social Worker | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2096 | 2019-01-02 |
| 1700358033 | Brian Joseph Walters | Social Worker | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2018-12-27 |
| 1386115418 | Lori Ann Rathman | Social Worker | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2018-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029306 | Ara Dadivanyan | Psychiatry & Neurology | 201 Reeceville Rd., Brandywine Hospital, Coatesville, PA 19320 | 2020-07-01 |
| 1669098919 | Sara Mostafa | Psychiatry & Neurology | Brandy Wine Hospital, 201 Reeceville Rd, Coatesville, PA 19320 | 2020-06-23 |
| 1225654072 | Laurie Bond | Counselor | 774 East Lincoln Highway, Coatesville, PA 19320 | 2020-06-17 |
| 1356964506 | Timothy Robert Derosa | Psychiatry & Neurology | Brandywine Hospital 201 Reeceville Rd., Coatesville, Pa, PA 19320 | 2020-05-22 |
| 1184264632 | Evolve Individual Services, LLC | Counselor | 135 E Chestnut St, 204, Coatesville, PA 19320 | 2020-01-13 |
| 1649824111 | Angela Lynne Sylvina | Social Worker | 1825 E Lincoln Highway, Coatesville, PA 19320 | 2019-08-01 |
| 1629540257 | Rhonda Jean Sanford | Social Worker | Coatesville Vamc, Attn: Rhonda Sanford, Lcsw, 1400 Blackhorse Hill Rd, Bldg 57, Rm 227, Coatesvillle, PA 19320 | 2018-12-20 |
| 1528540499 | Jetquatta Parker | Licensed Practical Nurse | 786 Coates St, Coatesville, PA 19320 | 2018-09-06 |
| 1639608052 | Shafkat Hussain | Pharmacist | 800 East Lincoln Highway, Coatesville, PA 19320 | 2017-06-08 |
| 1790222032 | Elizabeth Barnett | Counselor | 2034crest Dr, Coatesville, PA 19320 | 2017-01-25 |
| Find all providers in zip 19320 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952320046 | Pennsylvania Clinical Schools, Inc | Psychiatric Residential Treatment Facility | 1830 Towerview Dr, Coatesville, PA 19320-4849 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750913752 | Legacy Treatment Services, Inc. | Psychiatric Residential Treatment Facility | 5732 Thomas Ave, Philadelphia, PA 19143-4523 | 2020-02-07 |
| 1649802646 | Legacy Treatment Services, Inc. | Psychiatric Residential Treatment Facility | 1187 E Washington Ln, Philadelphia, PA 19138-1061 | 2020-02-07 |
| 1467097675 | Children's Center for Treatment and Education | Psychiatric Residential Treatment Facility | 1214 Freeport Rd, Kittanning, PA 16201-4564 | 2019-11-12 |
| 1144888272 | Perseus House, Inc | Psychiatric Residential Treatment Facility | 516 W 7th St, Erie, PA 16502-1333 | 2019-06-04 |
| 1003328071 | Children's Center for Treatment and Education | Psychiatric Residential Treatment Facility | 585 E Main St, Youngsville, PA 16371-1129 | 2017-10-31 |
| 1750746087 | The Devereux Foundation | Psychiatric Residential Treatment Facility | 160 Devereux Rd, Brandywine Rtf - Dormitory 1 Schwartz, Glenmoore, PA 19343-1615 | 2015-12-31 |
| 1588052609 | Perseus House Inc | Psychiatric Residential Treatment Facility | 643 E 6th St, Erie, PA 16507-1729 | 2014-12-23 |
| 1194164442 | Cornell Abraxas Group, Inc | Psychiatric Residential Treatment Facility | 165 Abraxas Rd, Marienville, PA 16239-0059 | 2013-06-20 |
| 1609153626 | Spirit of Gheel | Psychiatric Residential Treatment Facility | 10 Hollow Rd, Spring City, PA 19475 | 2011-11-04 |
| 1083905533 | Lakeview Neurocare Pennsylvania, Inc. | Psychiatric Residential Treatment Facility | 64 Woods Ln, Lewistown, PA 17044-2082 | 2011-05-02 |
| Find all providers with the same taxonomy | ||||
| City | COATESVILLE |
| Zip Code | 19320 |
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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.