MARTHA LLOYD ICF WESTGATE (NPI# 1396877031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396877031 |
| Entity Type | Organization |
| Organization Name | MARTHA LLOYD ICF WESTGATE |
| Practice Address |
131 Westgate Rd Mansfield PA 16933-9010 |
| Mailing Address |
190 W Main St Troy PA 16947-1131 |
| Practice Telephone | 5706623156 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANNE MACHMER (ICF DIRECTOR) |
| Authorized Official Telephone | 5702972185 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Street Address |
131 WESTGATE RD |
| City | MANSFIELD |
| State | PA |
| Zip Code | 16933-9010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174937916 | Kyle Ungvarsky | Family Medicine | 416 South Main Street, Mansfield, PA 16933 | 2014-06-19 |
| 1144451121 | Wellspring Community Support Services, Inc. | Clinic/Center | 3rd & St. James Street, St. James Complex #206b, Mansfield, PA 16933 | 2009-08-07 |
| 1417193707 | Roger Mark Stager | Dentist | 17 N Main St., Mansfield, PA 16933 | 2008-12-17 |
| 1477700185 | David Michael August | Psychiatry & Neurology | 103 A St James Place, Mansfield, PA 16933 | 2008-08-25 |
| 1043472525 | Martha Lloyd Crf Atf Trans | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Saint James Pl, Mansfield, PA 16933 | 2008-06-26 |
| 1518161520 | Elite Therapy PC | Physical Therapist | 285 South Main St., Mansfield, PA 16933 | 2007-06-13 |
| 1659591949 | Tioga County Dept of Human Services | Community/Behavioral Health | St James & Third Street, St James Complex Suite 103a, Mansfield, PA 16933 | 2007-04-27 |
| 1487779880 | Tioga County Dept of Human Services | Community/Behavioral Health | St. James & Third St., Mansfield, PA 16933 | 2007-03-21 |
| 1760507586 | Tioga County Dept of Human Services | Community/Behavioral Health | St. James Place Bldg. A, Mansfield, PA 16933 | 2007-03-20 |
| 1497895783 | Christopher David Jones | Physical Therapist | 285 S Main St, Mansfield, PA 16933 | 2007-02-07 |
| Find all providers in zip 16933 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174734115 | Walnut Creek Residential Services, Inc. | Intermediate Care Facility, Mentally Retarded | 622 S Walnut Creek Dr, Mansfield, TX 76063-2132 | 2007-05-24 |
| 1780894477 | Provincial Community Home Inc | Intermediate Care Facility, Mentally Retarded | 167 Poole Road, Mansfield, LA 71052-5007 | 2007-05-23 |
| 1659581379 | Provincial Community Home Inc | Intermediate Care Facility, Mentally Retarded | 416 Gibbs Street, Mansfield, LA 71052-2618 | 2007-05-23 |
| 1073645719 | Martha Lloyd Icf Brueilly | Intermediate Care Facility, Mentally Retarded | 65 Brueilly Rd, Mansfield, PA 16933-9591 | 2007-03-09 |
| 1285766923 | Martha Lloyd Icf Brooklyn | Intermediate Care Facility, Mentally Retarded | 280 Brooklyn St, Mansfield, PA 16933-9701 | 2007-03-09 |
| 1922145713 | Newstart Inc | Intermediate Care Facility, Mentally Retarded | 201 N Wisteria St, Mansfield, TX 76063-1837 | 2007-01-31 |
| 1063409738 | Mansfield Group Home, Ltd | Intermediate Care Facility, Mentally Retarded | 245 W 4th St, Mansfield, OH 44903-1704 | 2005-09-28 |
| 1013555408 | I Am Boundless, Inc. | Intermediate Care Facility, Mentally Retarded | 786 Ferndale Rd, Mansfield, OH 44907-1757 | 2019-12-16 |
| 1497021182 | Alexson Holdings, Inc. | Intermediate Care Facility, Mentally Retarded | 245 W 4th St, Mansfield, OH 44903-1704 | 2012-03-27 |
| 1285762450 | Oak Grove Manor Mrdd | Intermediate Care Facility, Mentally Retarded | 1670 Crider Rd, Mansfield, OH 44903-9268 | 2007-03-01 |
| Find all providers in MANSFIELD | ||||
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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.