GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA


Address: 233 George Junior Road, Grove City, PA 16237
Phone: 7244589330

GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA (NPI# 1144345380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144345380
Entity Type Organization
Organization Name GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA
Other Organization Name MEMORIAL
Practice Address 233 George Junior Road
Grove City
PA 16237
Mailing Address Po Box 1058
233 George Junior Road
Grove City
PA 16127-5058
Practice Telephone 7244589330
Mailing Telephone 7244589330
Mailing Fax Number 7244580389
Enumeration Date 2007-03-20
Last Update Date 2010-01-12
Authorized Official Name MR. RICHARD L. LOSASSO (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 7244589330
Authorized Official Credential MSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
PA 0014522190118 05
PA 0014522190054 05

Other Provider/Organization Names

Other Name Type Code
Memorial Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1326163569 George Junior Republic In Pennsylvania Community Based Residential Treatment Facility, Mental Illness 1114 Walker Ln, Vandergrift, PA 15690-8121 2007-03-20
1679698823 George Junior Republic In Pennsylvania Community Based Residential Treatment Facility, Mental Illness 1924 State Route 66, Greensburg, PA 15601-9282 2007-03-20
1134244080 George Junior Republic In Pennsylvania Community Based Residential Treatment Facility, Mental Illness R D 4 Townville Road, Guys Mills, PA 16327 2007-03-20
1407971641 George Junior Republic In Pennsylvania Community Based Residential Treatment Facility, Mental Illness 17 Leesburg Station Rd, New Wilmington, PA 16142-1901 2007-03-20
1083738884 George Junior Republic In Pennsylvania Community Based Residential Treatment Facility, Mental Illness 233 George Junior Road, Grove City, PA 16127 2007-03-19
1326163817 George Junior Republic In Pennsylvania Community Based Residential Treatment Facility, Mental Illness 233 George Junior Road, Grove City, PA 16127 2007-03-21
1316062854 George Junior Republic In Pennsylvania Community Based Residential Treatment Facility, Mental Illness 233 George Junior Road, Grove City, PA 16127 2007-03-21
1740305184 George Junior Republic In Pennsylvania Community Based Residential Treatment Facility, Mental Illness 233 George Junior Road, Grove City, PA 16127 2007-03-21
1730204173 George Junior Republic In Pennsylvania Community Based Residential Treatment Facility, Mental Illness 233 George Junior Road, Grove City, PA 16127 2007-03-21
1730204611 George Junior Republic In Pennsylvania Community Based Residential Treatment Facility, Mental Illness 233 George Junior Road, Grove City, PA 16127 2007-03-20

Office Location

Street Address 233 GEORGE JUNIOR ROAD
City GROVE CITY
State PA
Zip Code 16237

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083738884 George Junior Republic In Pennsylvania Community Based Residential Treatment Facility, Mental Illness 233 George Junior Road, Grove City, PA 16127 2007-03-19
1326163817 George Junior Republic In Pennsylvania Community Based Residential Treatment Facility, Mental Illness 233 George Junior Road, Grove City, PA 16127 2007-03-21
1316062854 George Junior Republic In Pennsylvania Community Based Residential Treatment Facility, Mental Illness 233 George Junior Road, Grove City, PA 16127 2007-03-21
1740305184 George Junior Republic In Pennsylvania Community Based Residential Treatment Facility, Mental Illness 233 George Junior Road, Grove City, PA 16127 2007-03-21
1730204173 George Junior Republic In Pennsylvania Community Based Residential Treatment Facility, Mental Illness 233 George Junior Road, Grove City, PA 16127 2007-03-21
1730204611 George Junior Republic In Pennsylvania Community Based Residential Treatment Facility, Mental Illness 233 George Junior Road, Grove City, PA 16127 2007-03-20
1366567141 George Junior Republic In Pennsylvania Community Based Residential Treatment Facility, Mental Illness 233 George Junior Road, Grove City, PA 16127 2007-03-20
1104941376 George Junior Republic In Pennsylvania Community Based Residential Treatment Facility, Mental Illness 233 George Junior Road, Grove City, PA 16127 2007-03-20
1457476657 George Junior Republic In Pennsylvania Community Based Residential Treatment Facility, Mental Illness 233 George Junior Road, Grove City, PA 16127 2007-03-20
1841315066 George Junior Republic In Pennsylvania Community Based Residential Treatment Facility, Mental Illness 233 George Junior Road, Grove City, PA 16127 2007-03-20
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

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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
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Competitor

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City GROVE CITY
Zip Code 16237

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Dataset Information

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.

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