DAYSTAR CENTER FOR SPIRITUAL RECOVERY (NPI# 1205967759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205967759 |
| Entity Type | Organization |
| Organization Name | DAYSTAR CENTER FOR SPIRITUAL RECOVERY |
| Practice Address |
125 N. 18th St. Harrisburg PA 17103 |
| Mailing Address |
Po Box 60574 Harrisburg PA 17106 |
| Practice Telephone | 7172309898 |
| Practice Fax Number | 7172381793 |
| Mailing Telephone | 7172309898 |
| Mailing Fax Number | 7172381793 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2015-06-09 |
| Authorized Official Name | MRS. FERN ROBERTA WILCOX (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7172309898 |
| Authorized Official Credential | LPC, CAADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | 227077 | PA | Residential Treatment Facilities |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | PA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CCBH IDENTIFIER | 100035 | 01 |
| PA | 0018539150001 | 05 | |
| PA | DEPT OF HEALTH FACILITY | 227077 | 01 |
| Street Address |
125 N. 18TH ST. |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790115491 | Jessica Leigh Taylor | Psychologist | 2601 Herr St, Harrisburg, PA 17103 | 2013-11-15 |
| 1679892988 | Judith Ann Mccrea | Social Worker | 2318 Walnut Street, Harrisburg, PA 17103 | 2010-05-26 |
| 1972621597 | Pennsylvania Department of Public Welfare | Psychiatric Hospital | Cameron and Maclay, Dpw Bfo Ros, Harrisburg, PA 17103 | 2007-03-26 |
| 1851573794 | Angela Lynn Miller | Counselor | 1 Greystone Rd, Carlisle, PA 17103 | 2007-12-03 |
| 1215125943 | Jonise Mcdaniel | Dentist | 1313 Monroe St, Harrisburg, PA 17103-1139 | 2007-10-09 |
| 1558531749 | Hamilton Health Center@ Downey | Clinic/Center | 1313 Monroe St, Harrisburg, PA 17103-1139 | 2008-03-04 |
| 1063870004 | Jessica M Johnson | Registered Nurse | 228 N 14th St, Harrisburg, PA 17103-1305 | 2016-02-05 |
| 1053710814 | Miracle Group Inc | Community/Behavioral Health | 1800 State St, Harrisburg, PA 17103-1551 | 2014-08-18 |
| 1710170881 | Rejoice Inc. | Supports Brokerage | 1800 State St, Harrisburg, PA 17103-1551 | 2007-08-22 |
| 1831418771 | Lisa Hydilya Randolph | Specialist | 1923 State St, Harrisburg, PA 17103-1641 | 2010-05-17 |
| Find all providers in zip 17103 | ||||
| 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 |
|---|---|---|---|---|
| 1518309731 | Lila Community Enhance Services Inc. | Substance Abuse Rehabilitation Facility | 7126 Founders Way, Harrisburg, NC 28075-9443 | 2013-07-30 |
| 1508389875 | Gaudenzia Inc | Substance Abuse Rehabilitation Facility | 3740 Chambers Hill Rd, Harrisburg, PA 17111-1510 | 2017-07-19 |
| 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 | HARRISBURG |
| Zip Code | 17103 |
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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.