5034 ATLANTIC AVENUE OPCO, LLC (NPI# 1184225245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184225245 |
| Entity Type | Organization |
| Organization Name | 5034 ATLANTIC AVENUE OPCO, LLC |
| Practice Address |
2380 Mcginley Rd Monroeville PA 15146-4400 |
| Mailing Address |
2701 Renaissance Blvd Fl 4 King of Prussia PA 19406-2781 |
| Practice Telephone | 6109942968 |
| Mailing Telephone | 6109942968 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | MARK GALLIHUE (CORP DIR PATIENT ACCOUNTS) |
| Authorized Official Telephone | 6109942968 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Recovery Centers of America at Monroeville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528433356 | 5034 Atlantic Avenue Opco, LLC | Substance Abuse Rehabilitation Facility | Recovery Centers of America At Lighthouse, 5034 Atlantic Ave, Mays Landing, NJ 08330-2022 | 2015-12-04 |
| 1841757846 | 5034 Atlantic Avenue Opco, LLC | Substance Abuse Rehabilitation Facility | 901 Ernston Rd, South Amboy, NJ 08879-2000 | 2019-02-26 |
| Street Address |
2380 MCGINLEY RD |
| City | MONROEVILLE |
| State | PA |
| Zip Code | 15146-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306829023 | Susan A Boss | Physician Assistant | 2380 Mcginley Rd, Monroeville, PA 15146-4400 | 2005-11-28 |
| 1982047908 | New Pittsburgh Specialty Hospital LLC | Long Term Care Hospital | 2380 Mcginley Rd, Monroeville, PA 15146-4400 | 2013-04-09 |
| 1962795120 | Pittsburgh Specialty Hospital LLC | General Acute Care Hospital | 2380 Mcginley Rd, Monroeville, PA 15146-4400 | 2011-05-20 |
| 1255318911 | Patricia Hogan Canfield | Physical Medicine & Rehabilitation | 2380 Mcginley Rd, Monroeville, PA 15146-4400 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217259 | Danielle Ulrich | Nurse Practitioner | 2626 Haymaker Road, Second Floor, Monroeville, PA 15146 | 2019-10-25 |
| 1659841286 | Catherine Mcewen Wilson | Social Worker | 339 Old Haymaker Road Suite 1102, Monroeville, PA 15146 | 2018-11-27 |
| 1750865432 | Diane Beth Alm | Dietitian, Registered | 2775 Mosside Boulevard Upmc East, Monroeville, PA 15146 | 2018-09-19 |
| 1477040673 | Kyle Hulsebus | Counselor | 339 Haymaker Rd Ste 1102, Monroeville, PA 15146 | 2018-04-13 |
| 1871047365 | Forefront Dermatology, S.c. | Dermatology | 339 Old Haymaker Rd Suite 201, Monroeville, PA 15146 | 2016-08-12 |
| 1801264163 | Danielle Wymard-tomlinson | Nurse Practitioner | 2570 Haymaker Rd Forbes Regional Hospital, Hospital Associates of Pittsburgh, Monroeville, PA 15146 | 2015-09-03 |
| 1902295421 | Andrea Kolano | Speech-Language Pathologist | 244 Center Road, Suite 205, Monroeville, PA 15146 | 2015-01-21 |
| 1366847592 | Grace Wagner | Counselor | 4314 Old William Penn Highway, Suite 204, Monroeville, PA 15146 | 2014-10-30 |
| 1093114001 | Stephanie Crishi | Speech-Language Pathologist | 4124 Monroeville Blvd, Monroeville, PA 15146 | 2014-08-14 |
| 1285052183 | Suzanne Oravetz | Specialist/Technologist | 2550 Mosside Boulevard, Monroeville, PA 15146 | 2014-03-29 |
| Find all providers in zip 15146 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016867 | Matthew Alexander Walukonis | Substance Abuse Rehabilitation Facility | 933 S Queen St, York, PA 17403-3935 | 2020-06-04 |
| 1598385924 | Heuer House | Substance Abuse Rehabilitation Facility | 514 Monongahela Ave, Glassport, PA 15045-1425 | 2020-04-27 |
| 1851911523 | Enlightened Solutions Philadelphia,llc | Substance Abuse Rehabilitation Facility | 25 Bala Ave Ste 202, Bala Cynwyd, PA 19004-3215 | 2020-04-22 |
| 1588283832 | Summit Bhc Meadville LLC | Substance Abuse Rehabilitation Facility | 535 Williamson Rd, Meadville, PA 16335-2848 | 2020-04-15 |
| 1538796792 | Genesis House Ministries Inc | Substance Abuse Rehabilitation Facility | 395 E Main St, Uniontown, PA 15401-4347 | 2020-03-26 |
| 1689216574 | Water Gap Capital Partners LLC | Substance Abuse Rehabilitation Facility | 288 Mountain Road, Delaware Water Gap, PA 18327 | 2019-10-11 |
| 1386201713 | Just Believe Recovery Center At Mountains Edge LLC | Substance Abuse Rehabilitation Facility | 306 Sugar Hill Rd, Union Dale, PA 18470-7397 | 2019-05-21 |
| 1689230674 | Snug Harbor Rehabilitation and Recovery LLC | Substance Abuse Rehabilitation Facility | 4638 E Lake Rd, Erie, PA 16511-1410 | 2019-05-15 |
| 1871157115 | Pyramid Healthcare Inc. | Substance Abuse Rehabilitation Facility | 5849 Lincoln Hwy, York, PA 17406-8903 | 2019-04-23 |
| 1962965145 | Providence Living LLC | Substance Abuse Rehabilitation Facility | 1528 Walnut St Ste 1410, Philadelphia, PA 19102-3610 | 2019-04-13 |
| Find all providers with the same taxonomy | ||||
| City | MONROEVILLE |
| Zip Code | 15146 |
Please comment or provide details below to improve the information on 5034 ATLANTIC AVENUE OPCO, LLC.
| 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.