CORNELL ABRAXAS GROUP, INC (NPI# 1194164442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194164442 |
| Entity Type | Organization |
| Organization Name | CORNELL ABRAXAS GROUP, INC |
| Practice Address |
165 Abraxas Rd Marienville PA 16239-0059 |
| Mailing Address |
Po Box 59 Marienville PA 16239-0059 |
| Practice Telephone | 8149276615 |
| Mailing Telephone | 8149276615 |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |
| Authorized Official Name | MR. JOHN SADLER (SR BUSINESS MGR) |
| Authorized Official Telephone | 8144590618 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 411260 | PA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134385669 | Cornell Abraxas Group, Inc | Community Based Residential Treatment Facility, Mental Illness | 899 E Broad St, Columbus, OH 43205-1156 | 2008-08-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Cornell Abraxas Group, Inc. | 621 NW 53rd St Ste 700 , Boca Raton, FL 33487 |
| Colorado Business Entity | CORNELL ABRAXAS GROUP, INC. | 621 NW 53rd Street, Suite 700 , Boca Raton, FL 33487 |
| Street Address |
165 ABRAXAS RD |
| City | MARIENVILLE |
| State | PA |
| Zip Code | 16239-0059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598260002 | Thomas Slimick | Ambulance | 302 West Spruce Street, Marienville, PA 16239 | 2018-03-27 |
| 1982130803 | Andrew James Leslie | Nurse Practitioner | 286 Woodland Drive, Marienville, PA 16239 | 2017-05-11 |
| 1801247671 | Mhm Inc. | Psychiatric Hospital | 286 Woodland Dr, Marienville, PA 16239 | 2016-06-23 |
| 1093128761 | Ann Songer | Speech-Language Pathologist | 156 Snyder Memorial Road, Marienville, PA 16239 | 2014-06-10 |
| 1477684264 | Deerfield Behavioral Health of Warren | Clinic/Center | Chestnut Street, Marienville Medical Center, Marienville, PA 16239 | 2007-03-07 |
| 1972645893 | Cornell Abraxas Group Inc | Substance Abuse Rehabilitation Facility | North Forest Steet, Marienville, PA 16239 | 2007-02-14 |
| 1417044173 | Clarion Development Corporation | Pharmacy | 120 Cherry St, Marienville, PA 16239 | 2006-10-06 |
| 1376062703 | Craig Jacob Hasper | Nurse Practitioner | 286 Woodland Drive, Marienville, PA 16239 | 2017-09-18 |
| 1235465592 | Brookville Hospital | Clinic/Center | 125 Chestnut Street, Marienville, PA 16239 | 2009-10-21 |
| 1225262413 | Robert L Maxa | Family Medicine | 1 Woodland Dr., Marienville, PA 16239-0307 | 2009-05-04 |
| Find all providers in zip 16239 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750913752 | Legacy Treatment Services, Inc. | Psychiatric Residential Treatment Facility | 5732 Thomas Ave, Philadelphia, PA 19143-4523 | 2020-02-07 |
| 1649802646 | Legacy Treatment Services, Inc. | Psychiatric Residential Treatment Facility | 1187 E Washington Ln, Philadelphia, PA 19138-1061 | 2020-02-07 |
| 1467097675 | Children's Center for Treatment and Education | Psychiatric Residential Treatment Facility | 1214 Freeport Rd, Kittanning, PA 16201-4564 | 2019-11-12 |
| 1144888272 | Perseus House, Inc | Psychiatric Residential Treatment Facility | 516 W 7th St, Erie, PA 16502-1333 | 2019-06-04 |
| 1003328071 | Children's Center for Treatment and Education | Psychiatric Residential Treatment Facility | 585 E Main St, Youngsville, PA 16371-1129 | 2017-10-31 |
| 1750746087 | The Devereux Foundation | Psychiatric Residential Treatment Facility | 160 Devereux Rd, Brandywine Rtf - Dormitory 1 Schwartz, Glenmoore, PA 19343-1615 | 2015-12-31 |
| 1588052609 | Perseus House Inc | Psychiatric Residential Treatment Facility | 643 E 6th St, Erie, PA 16507-1729 | 2014-12-23 |
| 1609153626 | Spirit of Gheel | Psychiatric Residential Treatment Facility | 10 Hollow Rd, Spring City, PA 19475 | 2011-11-04 |
| 1083905533 | Lakeview Neurocare Pennsylvania, Inc. | Psychiatric Residential Treatment Facility | 64 Woods Ln, Lewistown, PA 17044-2082 | 2011-05-02 |
| 1265754923 | Southwood Psychiatric Hospital, Inc. | Psychiatric Residential Treatment Facility | 110 Old Concord Rd, Prosperity, PA 15329-1422 | 2010-02-23 |
| Find all providers with the same taxonomy | ||||
| City | MARIENVILLE |
| Zip Code | 16239 |
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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.