CDS LLC (NPI# 1578088738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578088738 |
| Entity Type | Organization |
| Organization Name | CDS LLC |
| Other Organization Name | SILVER PINES TREATMENT CENTER |
| Practice Address |
5 White Owl Drive Mahanoy City PA 17948-3000 |
| Practice Telephone | (570) 773-5388 |
| Practice Fax Number | 5707735391 |
| Mailing Telephone | (570) 773-5388 |
| Mailing Fax Number | 5707735391 |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-09 |
| Authorized Official Name | ANTOINETTE SACCO (CEO) |
| Authorized Official Telephone | 5707735388 |
| Authorized Official Credential | MHS CADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 547032 | PA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Silver Pines Treatment Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CDS LLC | 4815 91st Ave Se, Mercer Island, WA 98040 |
| Oregon Corporations, Companies and Business Names | CDS LLC, A LIMITED LIABILITY COMPANY OF WYOMING | 5305 River Rd N Ste B, Keizer, OR 97303 |
| Street Address |
5 WHITE OWL DRIVE |
| City | MAHANOY CITY |
| State | PA |
| Zip Code | 17948-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689738387 | K P Flynn Inc | Pharmacy | 15 East Center St, Mahanoy City, PA 17948 | 2006-12-20 |
| 1386738482 | Joseph C. Lobichusky | Dentist | 15 South 'b' Street, Mahanoy City, PA 17948 | 2006-10-03 |
| 1780784389 | Gursharan Singh | General Practice | 323 E Center St, Mahanoy City, PA 17948 | 2006-09-24 |
| 1194819292 | Joseph C. Lobichusky, Dds + Associates | Dentist | 15 South 'b' Street, Mahanoy City, PA 17948 | 2006-10-03 |
| 1376669002 | Beverly Ann Martin | Licensed Practical Nurse | 604 W Pine St, Mahanoy City, PA 17948-2410 | 2007-03-22 |
| 1730205451 | Susan Anna Kemler | Nursing Facility/Intermediate Care Facility | 604 W Pine St, Mahanoy City, PA 17948-2410 | 2007-03-22 |
| 1184732174 | Mahanoy Area School District | Local Education Agency (LEA) | 1 Golden Bear Dr, Mahanoy City, PA 17948-2460 | 2006-08-29 |
| 1821545534 | Andrea Marie Caulfield | Social Worker | 1 Golden Bear Dr, Mahanoy City, PA 17948-2460 | 2016-09-10 |
| 1053910232 | Carbon - Schuylkill Community Hospital Inc | Emergency Medicine | 201 W Centre St, Mahanoy City, PA 17948-2505 | 2020-10-20 |
| 1952681074 | Angelray Family Medical LLC | Clinic/Center | 215 W Centre St, Mahanoy City, PA 17948-2505 | 2011-08-19 |
| Find all providers in zip 17948 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | MAHANOY CITY |
| Zip Code | 17948 |
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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.