MARTHA LLOYD COMMUNITY RESIDENTIAL FACILITY (NPI# 1114170859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114170859 |
| Entity Type | Organization |
| Organization Name | MARTHA LLOYD COMMUNITY RESIDENTIAL FACILITY |
| Practice Address |
54 Mount Zion Road Ext Wellsboro PA 16901-8706 |
| Mailing Address |
190 W Main St Troy PA 16947-1131 |
| Practice Telephone | 5702972185 |
| Mailing Telephone | 5702972185 |
| Mailing Fax Number | 5702971019 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| Authorized Official Name | WILLIAM MILLER (CRF 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 | 216180 | PA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629431465 | Martha Lloyd Community Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 140 S Williamson Rd, Blossburg, PA 16912-1030 | 2016-03-30 |
| 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 |
| 1164882296 | Martha Lloyd Community Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2227 Calkins Rd, Troy, PA 16947-8089 | 2016-03-02 |
| 1336509462 | Martha Lloyd Community Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1087 Sylvania Rd, Troy, PA 16947-8835 | 2016-03-02 |
| 1316307523 | Martha Lloyd Community Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Wilson Rd, Wellsboro, PA 16901-7394 | 2016-03-01 |
| 1548620172 | Martha Lloyd Community Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 75a Lloyd Lane, Troy, PA 16947-1502 | 2016-02-24 |
| 1619337243 | Martha Lloyd Community Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 75b Lloyd Lane, Troy, PA 16947-1502 | 2016-02-24 |
| 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 |
| 1700245370 | Martha Lloyd Community Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 99 Lieby Rd, Covington, PA 16917-9590 | 2016-02-11 |
| 1811356496 | Martha Lloyd Community Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2249 Updike Rd, Gillett, PA 16925-7982 | 2016-02-11 |
| Street Address |
54 MOUNT ZION ROAD EXT |
| City | WELLSBORO |
| State | PA |
| Zip Code | 16901-8706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964940 | Alyssa Lapp | Occupational Therapist | 32 Central Avenue, Wellsboro, PA 16901 | 2019-07-19 |
| 1437701190 | Kari Donnele Root | Occupational Therapist | 36 Central Avenue, Wellsboro, PA 16901 | 2019-07-12 |
| 1205377835 | Brett Long | Physical Therapy Assistant | 37 Central Avenue, Wellsboro, PA 16901 | 2017-03-15 |
| 1487072526 | Mary Caitlin Jones | Physical Therapist | 100 Plaza Ln, Wellsboro, PA 16901 | 2014-04-05 |
| 1144650607 | Amy Chalot | Occupational Therapy Assistant | 1883 Shumway Hill Road, Broad Acres Health and Rehabilitation Center, Wellsboro, PA 16901 | 2013-11-20 |
| 1780844209 | Upmc Wellsboro | Pathology | 32 36 Central Avenue, Pathology, Wellsboro, PA 16901 | 2008-06-10 |
| 1639369606 | Well Adjusted Chiropractic Center PC | Chiropractor | 82 East Avenue, Wellsboro, PA 16901 | 2007-07-26 |
| 1538362991 | John W Eaton | Dentist | 23 Water Street, Wellsboro, PA 16901 | 2007-06-06 |
| 1437210242 | James Michael Stewart | Technician/Technologist | 16 Pearl St, Wellsboro, PA 16901 | 2006-12-13 |
| 1508879560 | Edward Jeffrey Candela | Dentist | 16 Water St, Wellsboro, PA 16901 | 2006-08-14 |
| Find all providers in zip 16901 | ||||
| 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 |
|---|---|---|---|---|
| 1316307523 | Martha Lloyd Community Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Wilson Rd, Wellsboro, PA 16901-7394 | 2016-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940183 | Kenccid | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9350 Ashton Rd Rm 202, Philadelphia, PA 19114-7402 | 2020-10-22 |
| 1952908618 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 604 Glen Circle Dr, Tobyhanna, PA 18466-8300 | 2020-10-06 |
| 1598375305 | Impactful Human Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1055 Westlakes Dr Ste 3003, Berwyn, PA 19312-2410 | 2020-08-06 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1437775442 | The Arc of Crawford County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 222 Chestnut St, Meadville, PA 16335-3407 | 2020-06-25 |
| 1568094142 | Keystone Community Resources, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1768 Mcdonough Ave, Scranton, PA 18508-1566 | 2020-02-11 |
| 1114559267 | Keystone Community Resources, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 336 Sheridan Ave, Clarks Summit, PA 18411-1458 | 2020-02-06 |
| 1619507332 | Above & Beyond Berks LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1007 Saylor Dr, Temple, PA 19560-9587 | 2020-01-22 |
| 1700425287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 639 N South Turnpike Rd, Newfoundland, PA 18445-5032 | 2019-12-31 |
| 1891331120 | Gifted Hands Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1853 William Penn Way Ste 13, Lancaster, PA 17601-6713 | 2019-11-21 |
| 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.