ADELPHOI VILLAGE, INC. (NPI# 1053438788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053438788 |
| Entity Type | Organization |
| Organization Name | ADELPHOI VILLAGE, INC. |
| Practice Address |
2862 Ligonier St Latrobe PA 15650-4218 |
| Mailing Address |
1119 Village Way Latrobe PA 15650-5201 |
| Practice Telephone | 7248050129 |
| Mailing Telephone | 7245201111 |
| Mailing Fax Number | 7245201878 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | MRS. DANA MALDET (DIRECTOR OF REVENUE CYCLE MGMT) |
| Authorized Official Telephone | 7248047159 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 418070 | PA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CCBHO VENDOR NUMBER | 100744730 | 01 | |
| VBH PROVIDER NUMBER | 328824 | 01 | |
| PA | 1007447300026 | 05 | |
| VBH VENDOR ID | A135111 | 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 |
| 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 |
| 1033376256 | Adelphoi Village, Inc. | Public Health or Welfare | 1119 Village Way, Latrobe, PA 15650-5201 | 2008-05-16 |
| 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 |
2862 LIGONIER ST |
| City | LATROBE |
| State | PA |
| Zip Code | 15650-4218 |
| 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 | 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 |
|---|---|---|---|---|
| 1255458139 | Adelphoi Village, Inc. | Psychiatric Residential Treatment Facility | 1145 Mission Rd, Latrobe, PA 15650-2824 | 2007-03-23 |
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|---|---|---|---|---|
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| 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 |
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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.