GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA (NPI# 1326163569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326163569 |
| Entity Type | Organization |
| Organization Name | GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA |
| Other Organization Name | HOWARD L. WALKER |
| Practice Address |
1114 Walker Ln Vandergrift PA 15690-8121 |
| Mailing Address |
Po Box 1058 233 George Junior Road Grove City PA 16127-5058 |
| Practice Telephone | 7245675562 |
| Mailing Telephone | 7244589330 |
| Mailing Fax Number | 7244580389 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RICHARD L. LOSASSO (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7244589330 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0014522190002 | 05 |
| Other Name | Type Code |
|---|---|
| Howard L. Walker | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679698823 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 1924 State Route 66, Greensburg, PA 15601-9282 | 2007-03-20 |
| 1134244080 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | R D 4 Townville Road, Guys Mills, PA 16327 | 2007-03-20 |
| 1407971641 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 17 Leesburg Station Rd, New Wilmington, PA 16142-1901 | 2007-03-20 |
| 1083738884 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-19 |
| 1326163817 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-21 |
| 1316062854 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-21 |
| 1740305184 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-21 |
| 1730204173 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-21 |
| 1730204611 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-20 |
| 1366567141 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-20 |
| Street Address |
1114 WALKER LN |
| City | VANDERGRIFT |
| State | PA |
| Zip Code | 15690-8121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023239506 | Frank J Mottola | Optometrist | 146 Washington Ave., Vandergrift, PA 15690 | 2007-05-01 |
| 1538243969 | Charles W Yakulis | Dentist | 181 Washington Avenue, Vandergrift, PA 15690 | 2006-10-24 |
| 1649380460 | David F Ranieri | Dentist | 613 Hawthorne St., Suite 102, Vandergrift, PA 15690 | 2006-08-30 |
| 1619994118 | Debich Chiropractic Center PC | Chiropractor | 139 Washington Ave, Vandergrift, PA 15690 | 2006-07-17 |
| 1750354395 | Stephen Anthony Brunetti | Social Worker | 1129 Industrial Park Rd, Mailbox #29 Ste 211, Vandergrift, PA 15690 | 2006-02-13 |
| 1376613182 | Mohan M Patel Md PC | Internal Medicine | 235 Longfellow St, Vandergrift, PA 15690 | 2006-11-09 |
| 1366428872 | Jeff Scott Nigro | Podiatrist | 127 Columbia Ave, Vandergrift, PA 15690 | 2005-12-16 |
| 1093893042 | Larry Earl Wise | Dentist | 120 Farragut Avenue, Vandergrift, PA 15690-0365 | 2006-11-01 |
| 1366599896 | Timothy J Sluser | Dentist | 139 Columbia Ave, Vandergrift, PA 15690-1101 | 2007-01-05 |
| 1003851882 | Keystone Rehabilitation Systems Inc | Clinic/Center | 169 Columbia Ave, Vandergrift, PA 15690-1101 | 2006-06-17 |
| Find all providers in zip 15690 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383628 | New Visions of South Central Pa, Inc. | Community Based Residential Treatment Facility, Mental Illness | 138 E King St, Shippensburg, PA 17257-1329 | 2020-10-13 |
| 1174012868 | Andre Molando West | Community Based Residential Treatment Facility, Mental Illness | 444 Dalton Ave, Rochester, PA 15074-2402 | 2018-05-08 |
| 1013410224 | Aishah Holman | Community Based Residential Treatment Facility, Mental Illness | 221 Jacoby St, Norristown, PA 19401-4040 | 2018-03-14 |
| 1154858827 | Thoughtful Choice | Community Based Residential Treatment Facility, Mental Illness | 122 Faybern Ct, Verona, PA 15147-1507 | 2017-05-12 |
| 1154857365 | Housing and Education Resource Program Inc | Community Based Residential Treatment Facility, Mental Illness | 563 Stokes Ave, Braddock, PA 15104-2267 | 2017-05-08 |
| 1457892283 | Evangelical Alumni Inc. | Community Based Residential Treatment Facility, Mental Illness | 3232 N 33rd St, 3232 N 33rd St, Philadelphia, PA 19129-1202 | 2017-03-13 |
| 1871033118 | Shared Values | Community Based Residential Treatment Facility, Mental Illness | 17 Larkspur Ln, Collegeville, PA 19426-3931 | 2017-03-06 |
| 1932645108 | Elwyn | Community Based Residential Treatment Facility, Mental Illness | 5218 Germantown Ave, Philadelphia, PA 19144-2347 | 2017-01-12 |
| 1639536949 | Path (people Acting To Help) | Community Based Residential Treatment Facility, Mental Illness | 8429 Castor Ave, Philadelphia, PA 19152-1903 | 2016-01-19 |
| 1821453150 | Community Outreach Program | Community Based Residential Treatment Facility, Mental Illness | 1311 N 52nd St, Philadelphia, PA 19131-4412 | 2015-12-31 |
| Find all providers with the same taxonomy | ||||
| City | VANDERGRIFT |
| Zip Code | 15690 |
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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.