LAKEVIEW NEUROCARE PENNSYLVANIA, INC. (NPI# 1508200916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508200916 |
| Entity Type | Organization |
| Organization Name | LAKEVIEW NEUROCARE PENNSYLVANIA, INC. |
| Other Organization Name | LAKEVIEW NEUROCARE AT LEWISTOWN |
| Practice Address |
65 Woods Lane Lewistown PA 17044-2082 |
| Mailing Address |
2011 Rutland Dr Austin TX 78758-5421 |
| Practice Telephone | 7179539413 |
| Mailing Telephone | 5129739700 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-05-01 |
| Authorized Official Name | MICHAEL AGUILAR (CORPORATE DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 5129739700 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 330420 | PA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Lakeview Neurocare at Lewistown | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083905533 | Lakeview Neurocare Pennsylvania, Inc. | Psychiatric Residential Treatment Facility | 64 Woods Ln, Lewistown, PA 17044-2082 | 2011-05-02 |
| Street Address |
65 WOODS LANE |
| City | LEWISTOWN |
| State | PA |
| Zip Code | 17044-2082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391126 | Kenzie Renae Wray | Occupational Therapy Assistant | 1617 Us Highway 522 N, Lewistown, PA 17044 | 2019-05-16 |
| 1801305206 | Sarah Arndt | Occupational Therapist | Ohesson Manor 276 Green Ave, Lewistown, PA 17044 | 2017-09-28 |
| 1093182685 | Silver Lining Counseling LLC | Community/Behavioral Health | 100a Stine Drive, Lewistown, PA 17044 | 2015-08-31 |
| 1750778981 | Geisinger Lewistown Hospital | Clinic/Center | 211 Third Street, Lewistown, PA 17044 | 2015-04-27 |
| 1154717619 | Nicki Vithalani | Student in an Organized Health Care Education/Training Program | 211 Third St, Lewistown, PA 17044 | 2015-04-11 |
| 1871923391 | Karen Graham Doberneck | Psychologist | 25 N. Main Street, Lewistown, PA 17044 | 2013-11-19 |
| 1730420639 | Mary Ruth Habashy | Advanced Practice Midwife | 400 Highland Avenue, Lewistown, PA 17044 | 2013-03-04 |
| 1689923781 | Deborah L Martin | Massage Therapist | 45 Serenity Lane, Jack's Creek Road, Lewistown, PA 17044 | 2012-09-05 |
| 1053605931 | Lori Lee Yocum | Licensed Practical Nurse | 25 Rothermel Drive, Lewistown, PA 17044 | 2011-06-08 |
| 1235364613 | Heather Anya Morgan | Chiropractor | 713 W 4th St, Lewistown, PA 17044 | 2009-05-28 |
| Find all providers in zip 17044 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887514 | Thakker & Amin LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 91 N York Rd Apt 400-09, Willow Grove, PA 19090-2155 | 2020-09-25 |
| 1104463736 | Embolden Community Allies | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4000 Gypsy Ln Unit 204, Philadelphia, PA 19129-5405 | 2019-12-02 |
| 1528605243 | United Care Community Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1201 Overlook Rd Apt 6, Whitehall, PA 18052-6124 | 2019-12-01 |
| 1326684010 | Active Community Support | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3505 W Moreland Rd, Willow Grove, PA 19090-3831 | 2019-11-18 |
| 1851851083 | A Sun Starr Independent Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1673 Suburban Ave, Pittsburgh, PA 15216-3722 | 2019-03-22 |
| 1669953642 | Keystone Community Resources, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 767 State Route 307, Spring Brook Township, PA 18444-6463 | 2018-08-27 |
| 1477031029 | Biacon Family and Community Support Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 205 Pennford Pl, Garnet Valley, PA 19060-2407 | 2018-08-04 |
| 1134623515 | Woods Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 361 South Bellevue Avenue, Langhorne, PA 19047 | 2018-03-21 |
| 1518470624 | Cdig Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1714 Danforth St, Philadelphia, PA 19152-1802 | 2017-11-10 |
| 1619488434 | Creative Dialogues, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 828 Renier Ave, Turtle Creek, PA 15145-1608 | 2017-10-19 |
| 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.