HARBORCREEK YOUTH SERVICES (NPI# 1235250432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235250432 |
| Entity Type | Organization |
| Organization Name | HARBORCREEK YOUTH SERVICES |
| Practice Address |
5712 Iroquois Ave Conway House Harborcreek PA 16421-1009 |
| Mailing Address |
5712 Iroquois Ave Harborcreek PA 16421-1009 |
| Practice Telephone | 8148997664 |
| Practice Fax Number | 8148993075 |
| Mailing Telephone | 8149997664 |
| Mailing Fax Number | 8148993075 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN D. PETULLA (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8148997664 |
| Authorized Official Credential | LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 403830 | PA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001410380 0022 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386765923 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 3120 Peach St, Mccormick House, Erie, PA 16508-2734 | 2007-04-02 |
| 1518088160 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 1052 W 26th St, West 26th Street House, Erie, PA 16508-1516 | 2007-04-02 |
| 1851412480 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 8171 Edinboro Rd, Erie, PA 16509-4468 | 2007-04-02 |
| 1033230677 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 5712 Iroquois Avenue, Liberty House, Harborcreek, PA 16421-1009 | 2007-04-02 |
| 1740287622 | Harborcreek Youth Services | Community/Behavioral Health | 5712 Iroquois Ave, Mst Program, Harborcreek, PA 16421-1009 | 2005-07-07 |
| 1508019886 | Harborcreek Youth Services | Foster Care Agency | 5712 Iroquois Ave, Harborcreek, PA 16421-1009 | 2008-10-30 |
| 1033232806 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 5712 Iroquois Ave, St. Joseph's House, Harborcreek, PA 16421-1009 | 2007-04-09 |
| 1033230230 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 5712 Iroquois Ave, Hastings House, Harborcreek, PA 16421-1009 | 2007-04-03 |
| 1942321146 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 5712 Iroquois Ave, Wagner House, Harborcreek, PA 16421-1009 | 2007-04-03 |
| 1750402954 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 5712 Iroquois Ave, Columbus House, Harborcreek, PA 16421-1009 | 2007-04-03 |
| Street Address |
5712 IROQUOIS AVE CONWAY HOUSE |
| City | HARBORCREEK |
| State | PA |
| Zip Code | 16421-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740287622 | Harborcreek Youth Services | Community/Behavioral Health | 5712 Iroquois Ave, Mst Program, Harborcreek, PA 16421-1009 | 2005-07-07 |
| 1508019886 | Harborcreek Youth Services | Foster Care Agency | 5712 Iroquois Ave, Harborcreek, PA 16421-1009 | 2008-10-30 |
| 1336301092 | Community Health Net | Clinic/Center | 5712 Iroquois Ave, Harborcreek, PA 16421 | 2008-06-25 |
| 1861673899 | Bernie Lucas | Counselor | 5712 Iroquois Ave, Harborcreek, PA 16421-1009 | 2007-11-19 |
| 1033232806 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 5712 Iroquois Ave, St. Joseph's House, Harborcreek, PA 16421-1009 | 2007-04-09 |
| 1033230230 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 5712 Iroquois Ave, Hastings House, Harborcreek, PA 16421-1009 | 2007-04-03 |
| 1942321146 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 5712 Iroquois Ave, Wagner House, Harborcreek, PA 16421-1009 | 2007-04-03 |
| 1750402954 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 5712 Iroquois Ave, Columbus House, Harborcreek, PA 16421-1009 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033230677 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 5712 Iroquois Avenue, Liberty House, Harborcreek, PA 16421-1009 | 2007-04-02 |
| 1477002202 | Hooks Ei Services, Inc. | Developmental Therapist | 1155 Villa Sites Ave, Harborcreek, PA 16421-1025 | 2016-09-21 |
| 1932173523 | Harborcreek Fire Department | Ambulance | 7275 Buffalo Rd, Harborcreek, PA 16421-1102 | 2006-02-13 |
| 1285092601 | Hannah Kathleen Holland | Physician Assistant | 7459 Buffalo Rd, Harborcreek, PA 16421-1215 | 2016-01-29 |
| 1851414536 | Melissa Hooks | Speech-Language Pathologist | 275 Shomont Dr, Harborcreek, PA 16421-1228 | 2007-04-09 |
| 1871127563 | Carly E Imler | Speech-Language Pathologist | 275 Shomont Dr, Harborcreek, PA 16421-1228 | 2020-03-03 |
| 1497287395 | Sanders Chiropractic Care LLC | Chiropractor | 6484 Buffalo Rd, Harborcreek, PA 16421-1605 | 2017-03-30 |
| 1982244554 | East Erie County Emergency Medical Services Corporation | Ambulance | 5601 Buffalo Rd, Harborcreek, PA 16421-1625 | 2020-01-13 |
| 1114944352 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5741 Buffalo Rd, Harborcreek, PA 16421-1626 | 2006-07-16 |
| 1548583586 | Kevin M Kruszewski | Pharmacist | 5741 Buffalo Rd, Harborcreek, PA 16421-1626 | 2010-03-04 |
| Find all providers in zip 16421 | ||||
| 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 |
|---|---|---|---|---|
| 1033230677 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 5712 Iroquois Avenue, Liberty House, Harborcreek, PA 16421-1009 | 2007-04-02 |
| 1033232806 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 5712 Iroquois Ave, St. Joseph's House, Harborcreek, PA 16421-1009 | 2007-04-09 |
| 1033230230 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 5712 Iroquois Ave, Hastings House, Harborcreek, PA 16421-1009 | 2007-04-03 |
| 1942321146 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 5712 Iroquois Ave, Wagner House, Harborcreek, PA 16421-1009 | 2007-04-03 |
| 1750402954 | Harborcreek Youth Services | Psychiatric Residential Treatment Facility | 5712 Iroquois Ave, Columbus House, Harborcreek, PA 16421-1009 | 2007-04-03 |
| 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 |
| 1194164442 | Cornell Abraxas Group, Inc | Psychiatric Residential Treatment Facility | 165 Abraxas Rd, Marienville, PA 16239-0059 | 2013-06-20 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | HARBORCREEK |
| Zip Code | 16421 |
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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.