MERAKEY PENNSYLVANIA (NPI# 1285145979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285145979 |
| Entity Type | Organization |
| Organization Name | MERAKEY PENNSYLVANIA |
| Other Organization Name | NHS PENNSYLVANIA |
| Practice Address |
14088 W Club Deluxe Rd Hammond LA 70403-1000 |
| Mailing Address |
906 Bethlehem Pike Erdenheim PA 19038-7731 |
| Practice Telephone | 2158363131 |
| Practice Fax Number | 2152735975 |
| Mailing Telephone | 2158363131 |
| Mailing Fax Number | 2152735975 |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2018-12-06 |
| Authorized Official Name | MR. NORMAN E TILSON (CORP SR DIRECTOR OF BUSINESS OPS) |
| Authorized Official Telephone | 2158363131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| NHS Pennsylvania | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285139923 | Merakey Pennsylvania | Case Management | 260 Ohio River Blvd, Baden, PA 15005-1914 | 2018-03-26 |
| 1437651544 | Merakey Pennsylvania | Community/Behavioral Health | 11 Anthra Plaza Ctr, Coal Township, PA 17866-4199 | 2018-03-05 |
| 1740789312 | Merakey Pennsylvania | Community/Behavioral Health | 1808 Glenmar Ave, Monroe, LA 71201-4932 | 2018-02-08 |
| 1417391590 | Merakey Pennsylvania | Community/Behavioral Health | 1401 Hudson Ln Ste 225, Monroe, LA 71201-6032 | 2013-04-19 |
| 1215371398 | Merakey Pennsylvania | Community/Behavioral Health | 44617 S Airport Rd Ste C&d, Hammond, LA 70403-0311 | 2013-04-19 |
| 1336488519 | Merakey Pennsylvania | Community/Behavioral Health | 108 Cedarwood Cir, Russellton, PA 15076-1336 | 2013-02-07 |
| 1174862403 | Merakey Pennsylvania | Community/Behavioral Health | 107 Cedarwood Cir, Russellton, PA 15076-1301 | 2013-02-06 |
| 1316209307 | Merakey Pennsylvania | Community/Behavioral Health | 515 Delaware Ave, Fountain Hill, PA 18015-1103 | 2012-06-14 |
| 1033484019 | Merakey Pennsylvania | Community/Behavioral Health | 106 Heymann Blvd, Lafayette, LA 70503-2322 | 2012-03-09 |
| 1871867887 | Merakey Pennsylvania | Community/Behavioral Health | 2110 Oak Park Blvd, Lake Charles, LA 70601-7864 | 2012-03-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MERAKEY PENNSYLVANIA | 620 Germantown Pike, Lafayette Hill, Pennsylvania 19444 |
| Street Address |
14088 W CLUB DELUXE RD |
| City | HAMMOND |
| State | LA |
| Zip Code | 70403-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225689706 | Merakey Pennsylvania | Physical Therapist | 14088 W Club Deluxe Rd, Hammond, LA 70403-1000 | 2019-09-25 |
| 1568939460 | Justin Rashad Moton | Behavior Technician | 14088 W Club Deluxe Rd, Hammond, LA 70403-1000 | 2018-10-29 |
| 1346733870 | Mary Grace Key | Behavior Technician | 14088 W Club Deluxe Rd, Hammond, LA 70403-1000 | 2018-06-09 |
| 1457844045 | Jacy Dykes | Behavioral Analyst | 14088 W Club Deluxe Rd, Hammond, LA 70403-1000 | 2018-06-08 |
| 1942799952 | Sadie Marelle Failla | Behavior Technician | 14088 W Club Deluxe Rd, Hammond, LA 70403-1000 | 2018-05-04 |
| 1093202798 | Christine Nesbitt | Behavior Technician | 14088 W Club Deluxe Rd, Hammond, LA 70403-1000 | 2018-04-18 |
| 1992201065 | Imani Decuir | Behavior Technician | 14088 W Club Deluxe Rd, Hammond, LA 70403-1000 | 2018-04-05 |
| 1508362815 | Ann Marie Donovan | Behavioral Analyst | 14088 W Club Deluxe Rd, Hammond, LA 70403-1000 | 2018-04-04 |
| 1467953745 | Jessica Bennett | Occupational Therapist | 14088 W Club Deluxe Rd, Hammond, LA 70403-1000 | 2018-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
| 1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
| 1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
| 1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
| 1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
| Find all providers in zip 70403 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114376621 | Terrica Brown | Community/Behavioral Health | 20433 Lullabye Ln, Hammond, LA 70401-4104 | 2016-06-06 |
| 1689020489 | O&m Family Care, LLC | Community/Behavioral Health | 12561 Wardline Road, Hammond, LA 70401 | 2016-05-11 |
| 1942663117 | Choices Behavior Health and Wellness, LLC | Community/Behavioral Health | 406 W Morris Ave, Ste B, Hammond, LA 70403-4150 | 2016-04-04 |
| 1275957979 | Northlake Counseling and Consulting, LLC | Community/Behavioral Health | 902 C M Fagan Dr Ste B, Hammond, LA 70403-6043 | 2014-02-17 |
| 1215371398 | Merakey Pennsylvania | Community/Behavioral Health | 44617 S Airport Rd Ste C&d, Hammond, LA 70403-0311 | 2013-04-19 |
| 1740525831 | Inkreasing Ministry | Community/Behavioral Health | 24 Whitmar Dr, Hammond, LA 70401-1027 | 2012-11-30 |
| 1407108079 | Lakeside Behavioral Solutions | Community/Behavioral Health | 5944 1/2 Hohman Ave., Hammond, IN 46320 | 2012-10-08 |
| 1154607547 | Addiction and Family Care, Inc. | Community/Behavioral Health | 3440 169th St, Hammond, IN 46323-2542 | 2011-10-29 |
| 1962646547 | New Horizons Youth Service Bureau, Inc. | Community/Behavioral Health | 47257 River Rd, Hammond, LA 70401-3901 | 2009-04-27 |
| 1982848875 | Paradym Senior Life, LLC | Community/Behavioral Health | 11139 Fost Lane, Hammond, LA 70403 | 2009-04-23 |
| Find all providers in HAMMOND | ||||
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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.