GOODWILL OF THE SOUTHERN ALLEGHENIES (NPI# 1154453546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154453546 |
| Entity Type | Organization |
| Organization Name | GOODWILL OF THE SOUTHERN ALLEGHENIES |
| Other Organization Name | GOODWILL INDUSTRIES OF THE CONEMAUGH VALLEY, INC. |
| Practice Address |
540 Central Ave Johnstown PA 15902-2674 |
| Practice Telephone | 8145363536 |
| Practice Fax Number | 8145365171 |
| Mailing Telephone | 8145363536 |
| Mailing Fax Number | 8145365171 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2017-03-29 |
| Authorized Official Name | MR. BRADLEY R. BURGER (CEO PRESIDENT) |
| Authorized Official Telephone | 8145363536 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 306150 | PA | Agencies |
| Other Name | Type Code |
|---|---|
| Goodwill Industries of the Conemaugh Valley, Inc. | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GOODWILL OF THE SOUTHERN ALLEGHENIES, INC. | 540 Central Ave, Johnstown, PA 15902-2674 |
| Street Address |
540 CENTRAL AVE |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15902-2674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627805 | Brad Griesheimer | Counselor | 1086 Bedford St, Johnstown, PA 15902 | 2020-01-06 |
| 1518261072 | Cathy R Hunter | Counselor | 311 Saipan Ave, Johnstown, PA 15902-1067 | 2010-12-27 |
| 1194101998 | Vanessa I Orris | Midwife, Lay | 1125 Cushon St, Johnstown, PA 15902-1149 | 2015-08-04 |
| 1538126073 | Conemaugh Valley School District | Local Education Agency (LEA) | 1451 Frankstown Rd, Johnstown, PA 15902-1318 | 2006-04-27 |
| 1194204917 | Villa Crest LLC | Skilled Nursing Facility | 1451 Frankstown Rd, Johnstown, PA 15902-1318 | 2018-08-13 |
| 1568787307 | Kimberly Lee Balamuta | Registered Nurse | 32 Reed Ct, Johnstown, PA 15902-1331 | 2010-04-05 |
| 1376090753 | Elizabeth Chobany | Specialist/Technologist | 689 Messenger St, Johnstown, PA 15902-1709 | 2016-09-02 |
| 1396084117 | Donna M Barber | Adult Companion | 519 Ash St, Johnstown, PA 15902-2021 | 2013-02-14 |
| 1174500326 | Seventh Ward Civic Association | Ambulance | 404 Cedar St, Johnstown, PA 15902-2022 | 2005-12-29 |
| 1316461288 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 220 Messenger St, Johnstown, PA 15902-2125 | 2017-08-01 |
| Find all providers in zip 15902 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275172777 | Center for Community Resources, Inc. | Community/Behavioral Health | 110 Franklin St Fl 3, Johnstown, PA 15901-1829 | 2019-12-31 |
| 1982108528 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 101 Community College Way, Johnstown, PA 15904-2949 | 2018-03-20 |
| 1689193450 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 413 Power St, Johnstown, PA 15906-2732 | 2017-09-13 |
| 1093234189 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 1 Academic Ave, Johnstown, PA 15904-2946 | 2017-09-11 |
| 1326567439 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 675 Goucher St, Johnstown, PA 15905-3247 | 2017-09-11 |
| 1215456306 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 222 Central Ave, Johnstown, PA 15902-2405 | 2017-09-11 |
| 1326566472 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 430 Tioga St, Johnstown, PA 15905-2346 | 2017-09-08 |
| 1871011924 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 600 Harlan Ave, Johnstown, PA 15905-3916 | 2017-09-08 |
| 1073031126 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 2306 Bedford St, Johnstown, PA 15904-1127 | 2017-09-08 |
| 1942728092 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 1516 Tire Hill Rd, Johnstown, PA 15905-7822 | 2017-09-08 |
| Find all providers in JOHNSTOWN | ||||
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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.