LIFE CHANGING SUPPORT SERVICES INC. (NPI# 1649567934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649567934 |
| Entity Type | Organization |
| Organization Name | LIFE CHANGING SUPPORT SERVICES INC. |
| Practice Address |
112 St. Benedict St Carrolltown PA 15722 |
| Mailing Address |
Po Box 622 112 St. Benedict St Carrolltown PA 15722 |
| Practice Telephone | 8143303694 |
| Mailing Telephone | 8143303694 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |
| Authorized Official Name | SARAH STILES (VICE PRESIDENT) |
| Authorized Official Telephone | 8143303694 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
112 ST. BENEDICT ST |
| City | CARROLLTOWN |
| State | PA |
| Zip Code | 15722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275856148 | Rezk Pharmacy LLC | Pharmacy | 204 South Main St, Suite 100, Carrolltown, PA 15722 | 2010-03-08 |
| 1700966488 | Neil Andrew Sharbaugh | Pharmacist | 2073 Plank Road, Carrolltown, PA 15722 | 2006-10-16 |
| 1043315419 | Joseph Rezk | Durable Medical Equipment & Medical Supplies | 115 South Main Street, Carrolltown, PA 15722 | 2006-09-13 |
| 1053332601 | Christopher B Paronish | Family Medicine | 142 E Carroll St, Carrolltown, PA 15722 | 2006-07-21 |
| 1962469197 | Cambria Heights School District | Local Education Agency (LEA) | 138 E Campbell St, Carroltown, PA 15722 | 2006-05-01 |
| 1386634079 | Brian Allen Maykovich | Dentist | 108 Saint Joseph Street, Carrolltown, PA 15722 | 2005-10-25 |
| 1033555776 | 365 Hospice, LLC | Hospice Care, Community Based | 119 S Main St, Carrolltown, PA 15722 | 2013-05-21 |
| 1952651986 | Patton Family Medical Center, Christopher Paronish Md, LLC | Non-Pharmacy Dispensing Site | 142 E Carroll St, Carrolltown, PA 15722 | 2012-09-18 |
| 1285829465 | Pagano Chiropractic Clinic, P.C. | Clinic/Center | 204 South Main Street, Carrolltown, PA 15722 | 2007-09-11 |
| 1689768210 | Rhonda Ann Wendekier | Optometrist | 2056 Plank Road, Carrolltown, PA 15722-0243 | 2006-10-03 |
| Find all providers in zip 15722 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940183 | Kenccid | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9350 Ashton Rd Rm 202, Philadelphia, PA 19114-7402 | 2020-10-22 |
| 1952908618 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 604 Glen Circle Dr, Tobyhanna, PA 18466-8300 | 2020-10-06 |
| 1598375305 | Impactful Human Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1055 Westlakes Dr Ste 3003, Berwyn, PA 19312-2410 | 2020-08-06 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1437775442 | The Arc of Crawford County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 222 Chestnut St, Meadville, PA 16335-3407 | 2020-06-25 |
| 1568094142 | Keystone Community Resources, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1768 Mcdonough Ave, Scranton, PA 18508-1566 | 2020-02-11 |
| 1114559267 | Keystone Community Resources, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 336 Sheridan Ave, Clarks Summit, PA 18411-1458 | 2020-02-06 |
| 1619507332 | Above & Beyond Berks LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1007 Saylor Dr, Temple, PA 19560-9587 | 2020-01-22 |
| 1700425287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 639 N South Turnpike Rd, Newfoundland, PA 18445-5032 | 2019-12-31 |
| 1891331120 | Gifted Hands Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1853 William Penn Way Ste 13, Lancaster, PA 17601-6713 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTOWN |
| Zip Code | 15722 |
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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.