BROOKDALE DRUG & ALCOHOL REHABILITATION CENTER LLC (NPI# 1275093585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275093585 |
| Entity Type | Organization |
| Organization Name | BROOKDALE DRUG & ALCOHOL REHABILITATION CENTER LLC |
| Practice Address |
2455 Back Mountain Road Scotrun PA 18355 |
| Practice Telephone | 5702163540 |
| Mailing Telephone | 5702163540 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Authorized Official Name | JOSEPH MATTIOLI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5709771962 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
2455 BACK MOUNTAIN ROAD |
| City | SCOTRUN |
| State | PA |
| Zip Code | 18355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275623126 | Douglas Trook | Psychologist | 408 Scotrun Ave, Pocono Psychological Services, Scotrun, PA 18355 | 2006-10-13 |
| 1295847127 | Thomas M Baker | Chiropractor | 2551 Pa-611, Scotrun, PA 18355 | 2006-08-31 |
| 1881650661 | Nathan Richard Laubach | Chiropractor | Rt 611, Scotrun Plaza, Scotrun, PA 18355 | 2006-04-21 |
| 1417913286 | Laubach Family Chiropractic LLC | Chiropractor | 2551 Route 611, Scotrun Plaza, Scotrun, PA 18355 | 2006-04-21 |
| 1750347530 | Elizabeth Anne Laubach | Chiropractor | Rt 611, Scotrun Plaza, Scotrun, PA 18355 | 2006-04-21 |
| 1043464647 | Maxine Lorraine Reynolds | Audiologist | 124 Scotrun Dr, Scotrun, PA 18355-9657 | 2008-11-10 |
| 1972652105 | Susan J Anderson-krieg | Social Worker | 601 Scotrun Ave, Scotrun, PA 18355-9663 | 2007-01-09 |
| 1649334707 | Lewis Krieg | Psychologist | 408 Scotrun Ave., Scotrun, PA 18355-9663 | 2006-12-21 |
| 1801094800 | Pocono Psychological Services | Psychologist | 408 Scotrun Ave, Scotrun, PA 18355-9663 | 2007-07-11 |
| 1134250376 | Judith T Munoz | Psychologist | 601 Scotrun Ave, Scotrun, PA 18355-9663 | 2007-03-08 |
| Find all providers in zip 18355 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
Please comment or provide details below to improve the information on BROOKDALE DRUG & ALCOHOL REHABILITATION CENTER LLC.
| 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.