ST. JOSEPH'S CENTER (NPI# 1053779561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053779561 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH'S CENTER |
| Practice Address |
2013 Boulevard Ave Scranton PA 18509-1205 |
| Mailing Address |
2010 Adams Ave Scranton PA 18509-1508 |
| Practice Telephone | 5709631276 |
| Practice Fax Number | 5705582455 |
| Mailing Telephone | 5709631275 |
| Mailing Fax Number | 5709631286 |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |
| Authorized Official Name | SUZANNE TOLERICO (BILLING MANAGER) |
| Authorized Official Telephone | 5709631275 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
23864001 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000013880080 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316075419 | St. Joseph's Center | Day Training, Developmentally Disabled Services | 2010 Adams Ave, Scranton, PA 18509-1508 | 2007-03-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ST. JOSEPH'S CENTER FOR THE DOMESTIC CHURCH, INC. | 1744 Ne 42nd Ave Ste A, Portland, OR 97213 |
| Street Address |
2013 BOULEVARD AVE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18509-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457722761 | Michele Johnston | Registered Nurse | 2013 Boulevard Ave, Scranton, PA 18509-1205 | 2015-10-13 |
| 1467825885 | Ann Marie Southard | Registered Nurse | 2013 Boulevard Ave, Scranton, PA 18509-1205 | 2015-11-06 |
| 1669845087 | Jason Richmond | Registered Nurse | 2013 Boulevard Ave, Scranton, PA 18509-1205 | 2015-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700345279 | Michael Joseph Aronica | Physical Medicine & Rehabilitation | 1609 Jefferson Ave, Dunmore, PA 18509 | 2019-03-14 |
| 1467942888 | Mikayla Dynel Attwood | Specialist/Technologist | 2300 Adam's Ave, Scranton, PA 18509 | 2018-05-10 |
| 1497294417 | Brandt Chiropractic and Wellness, Pllc | Chiropractor | 1400 Monroe Ave, Suite 5, Dunmore, PA 18509 | 2017-02-23 |
| 1285088096 | Sara Talarico | Specialist/Technologist | 501 Vine Street, Scranton, PA 18509 | 2016-04-18 |
| 1700256906 | Thadeus Brandt | Chiropractor | 1439 Monroe Ave, Suite 5, Dunmore, PA 18509 | 2015-09-30 |
| 1164762209 | Andrew Joseph Voinski | Dentist | 2326 Boulevard Ave, Scranton, PA 18509 | 2013-02-27 |
| 1386991727 | Paul James Mcdonough Jr. | Counselor | 118 Monahan Avenue, Dunmore, PA 18509 | 2012-08-03 |
| 1639403611 | Primary Care Medical Associates, P.C. | Internal Medicine | 1416 Monroe Avenue, Suite 201, Dunmore, PA 18509 | 2009-09-24 |
| 1316131360 | Marywood University | Emergency Medicine | 2300 Adams Avenue, Oneill Center for Healthy Families, Scranton, PA 18509 | 2007-09-04 |
| 1831214535 | Kurt Paul Moran | Internal Medicine | 10 Greenridge Street, Suite#2, Scranton, PA 18509 | 2007-03-20 |
| Find all providers in zip 18509 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
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| 1972874733 | Childway Pediatric Services | Skilled Nursing Facility | 2328 N Broad St, Colmar, PA 18915-9725 | 2012-01-25 |
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| 1902895550 | Jenner's Pond Inc. | Skilled Nursing Facility | 2000 Greenbriar Ln, West Grove, PA 19390-9485 | 2005-10-17 |
| Find all providers with the same taxonomy | ||||
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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.