MOUNT TREXLER MANOR (NPI# 1184882805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184882805 |
| Entity Type | Organization |
| Organization Name | MOUNT TREXLER MANOR |
| Practice Address |
5201 Saint Josephs Road Limeport PA 18060-0010 |
| Mailing Address |
5201 Saint Josephs Road Po Box 1001 Limeport PA 18060-0010 |
| Practice Telephone | 6109659021 |
| Practice Fax Number | 6109280174 |
| Mailing Telephone | 6109659021 |
| Mailing Fax Number | 6109280174 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | JOAN MUTH (DIRECTOR, PROJECT MANAGEMENT) |
| Authorized Official Telephone | 6109659021 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
216630 | PA | Nursing & Custodial Care Facilities |
| Street Address |
5201 SAINT JOSEPHS ROAD |
| City | LIMEPORT |
| State | PA |
| Zip Code | 18060-0010 |
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525395 | Sakeia Cyrell Leggett | Assisted Living Facility | 374 Devereaux Ave, Philadelphia, PA 19111-6023 | 2020-07-11 |
| 1467079319 | On-site Companionship Services LLC | Assisted Living Facility | 1425 Oberlin St, Pittsburgh, PA 15206-1957 | 2020-06-26 |
| 1649768219 | Accessible Community Living Group | Assisted Living Facility | 508 E Brinton St, Philadelphia, PA 19144-1005 | 2018-04-28 |
| 1316310410 | Allied Healthcare Services | Assisted Living Facility | 820 Mahantongo St, Pottsville, PA 17901-3023 | 2015-11-11 |
| 1437400751 | Community Residential Services, Inc. | Assisted Living Facility | 1360 1/2 4th St, Monongahela, PA 15063-1970 | 2012-09-26 |
| 1033471636 | Allied Healthcare Services | Assisted Living Facility | 12 Mix Ave, Towanda, PA 18848-1948 | 2012-06-11 |
| 1437394509 | Kidspeace National Centers Inc | Assisted Living Facility | 301 Broadway Ste 4b, Bethlehem, PA 18015-1559 | 2008-12-03 |
| 1598922858 | Stabon Manor PCh, Inc | Assisted Living Facility | 1555 Haak St, Reading, PA 19602-2212 | 2008-05-22 |
| 1396734398 | Allied Healthcare Services | Assisted Living Facility | 108 Eliza St, Scranton, PA 18508-1003 | 2005-10-21 |
| 1205111747 | Pathways of Sw Pa, Inc | Assisted Living Facility | 190 N Main St, Washington, PA 15301-4349 | 2011-10-17 |
| 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.