EIHAB HUMAN SERVICES PENNSYLVANIA INC (NPI# 1255667242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255667242 |
| Entity Type | Organization |
| Organization Name | EIHAB HUMAN SERVICES PENNSYLVANIA INC |
| Practice Address |
Rr 6 Box 6543 Moscow PA 18444-9665 |
| Mailing Address |
16818 S Conduit Ave Jamaica NY 11434-4899 |
| Practice Telephone | 5703096579 |
| Practice Fax Number | 5703096362 |
| Mailing Telephone | 7182766101 |
| Mailing Fax Number | 7182766063 |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-26 |
| Authorized Official Name | JANE MEROLLA (ASSOCIATE EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5703096579 |
| Is Organization Subpart | Y |
| Parent Organization Name | EIHAB HUMAN SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | PA | Residential Treatment Facilities | |
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Street Address |
RR 6 BOX 6543 |
| City | MOSCOW |
| State | PA |
| Zip Code | 18444-9665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285949370 | Susan D Decesare | Psychologist | 260 Daleville Highway, Suite 105, Covington Township, PA 18444 | 2010-08-12 |
| 1487986741 | Rocco G. Diana | Chiropractor | 1186 Church St., Moscow, PA 18444 | 2010-02-10 |
| 1821263666 | Jay Joseph Sochoka | Pharmacist | Routes 435 & 502, Moscow, PA 18444 | 2008-04-23 |
| 1669671004 | Donald W Haines | Dentist | 921 Drinker Turnpike, Suite 19, Coventry Township, PA 18444 | 2007-07-16 |
| 1952422750 | James Steven Fagan | Dentist | 1644 Rt 611 Fountain Springs West, Suite 3, Tannersville, PA 18444 | 2007-04-02 |
| 1184728313 | Braceys Supermarket Inc. | Pharmacy | Route 502, Daleville, PA 18444 | 2006-09-08 |
| 1720003254 | Antony L Graham | Chiropractor | 1186 Church Street, Moscow, PA 18444 | 2006-07-13 |
| 1245228410 | Jose Aramburo | Family Medicine | Rt 502 Box 6239, Moscow, PA 18444 | 2005-10-11 |
| 1225305311 | Kimberly A. Desau | Occupational Therapist | 516 Saint Marys Villa Rd, Elmhurst Township, PA 18444 | 2011-11-17 |
| 1962680413 | Dr Richard Margerum Optometrist | Optometrist | 328 N Main St, Moscow, PA 18444 | 2008-02-07 |
| Find all providers in zip 18444 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028860 | Woods Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Lakeshore Drive, Langhorne, PA 19047-1616 | 2018-10-01 |
| 1861971665 | Woods Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Woodlands Drive, Langhorne, PA 19047-1616 | 2018-08-13 |
| 1487133286 | Woods Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 19 Sandalwood Circle, Langhorne, PA 19047-1616 | 2018-08-13 |
| 1821592270 | Woods Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 357 Roebling Drive, Langhorne, PA 19047-1616 | 2018-03-21 |
| 1184127722 | Woods Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 17 Woodlands Drive, Langhorne, PA 19047 | 2018-03-09 |
| 1235632977 | Woods Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 84 Buttonwood Drive, Langhorne, PA 19047-0036 | 2018-03-08 |
| 1518407519 | Forget Me Knot Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 2321 N Broad Street, Philadelphia, PA 19132 | 2017-02-24 |
| 1295286615 | Chor Youth and Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 1023 Pear Street, Reading, PA 19601 | 2016-10-20 |
| 1639622681 | Cosmological LLC | Residential Treatment Facility, Emotionally Disturbed Children | 5746 N 19th St, Philadelphia, PA 19141-1204 | 2016-07-26 |
| 1184073645 | New Beginings LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2732 N 22nd St, Philadelphia, PA 19132-2601 | 2016-06-06 |
| 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.