PENIEL MINISTRIES (NPI# 1538385349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538385349 |
| Entity Type | Organization |
| Organization Name | PENIEL MINISTRIES |
| Other Organization Name | PENIEL DRUG & ALCOHOL RESIDENTIAL TREATMENT FACILITY |
| Practice Address |
760 Cooper Ave Johnstown PA 15906-1033 |
| Practice Telephone | 8145362111 |
| Practice Fax Number | 8145357556 |
| Mailing Telephone | 8145362111 |
| Mailing Fax Number | 8145357556 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARION M SPELLMAN (CEO) |
| Authorized Official Telephone | 8145362111 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 117042 | PA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Peniel Drug & Alcohol Residential Treatment Facility | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PENIEL MINISTRIES | 3815 Se 174th Ave, Portland, OR 97236 |
| Street Address |
760 COOPER AVE |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15906-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427301829 | Peniel Ministry | Substance Abuse Rehabilitation Facility | 760 Cooper Ave, Johnstown, PA 15906-1033 | 2012-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861746844 | Nancy J Gilbert | Registered Nurse | 401 Broad Street, Johnstown, PA 15906 | 2012-10-30 |
| 1689727273 | Laurel Highlands Neuro-rehabilitation | Psychologist | 111a Roosevelt Boulevard, Johnstown, PA 15906 | 2007-01-19 |
| 1124107503 | Robert Joseph Bimeal Jr. | Pharmacist | 150 Fairfield Ave, Johnstown, PA 15906 | 2006-11-04 |
| 1487179255 | Jill Anne Clark | Social Worker | 401 Broad Street, Johnstown, PA 15906 | 2017-08-13 |
| 1659720399 | Melissa Melikant | Registered Nurse | 401 Broad Street, Johnstown, PA 15906 | 2016-06-03 |
| 1013359082 | Kelly J Leech | Physical Therapy Assistant | 401 Broad St, Johnstown, PA 15906 | 2013-07-19 |
| 1154661551 | Angela K Lambing | Registered Nurse | 401 Broad St, Johnstown, PA 15906 | 2013-02-21 |
| 1003013202 | Amanda Ann Gorzelsky | Pharmacist | 1086 Franklin Street, Johnstown, PA 15906 | 2007-06-29 |
| 1972643336 | Walter V Kowtoniuk | Family Medicine | 226 Fairfield Ave, Johnstown, PA 15906 | 2007-02-07 |
| 1558927731 | Sarah Joy Smith | Social Worker | 579 Dorothy Ave, Johnstown, PA 15906-1456 | 2019-05-14 |
| Find all providers in zip 15906 | ||||
| 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 |
|---|---|---|---|---|
| 1417383571 | Alliance Medical Services | Substance Abuse Rehabilitation Facility | 1419 Scalp Ave, Johnstown, PA 15904-3314 | 2013-09-20 |
| 1427301829 | Peniel Ministry | Substance Abuse Rehabilitation Facility | 760 Cooper Ave, Johnstown, PA 15906-1033 | 2012-10-23 |
| 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 | ||||
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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.