LEGACY TREATMENT SERVICES, INC. (NPI# 1649802646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649802646 |
| Entity Type | Organization |
| Organization Name | LEGACY TREATMENT SERVICES, INC. |
| Practice Address |
1187 E Washington Ln Philadelphia PA 19138-1061 |
| Mailing Address |
1289 Route 38 Ste 203 Hainesport NJ 08036-2730 |
| Practice Telephone | 6092675656 |
| Mailing Telephone | 6092675656 |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |
| Authorized Official Name | SHABNAM SHARMA (CFO) |
| Authorized Official Telephone | 8566429090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750913752 | Legacy Treatment Services, Inc. | Psychiatric Residential Treatment Facility | 5732 Thomas Ave, Philadelphia, PA 19143-4523 | 2020-02-07 |
| 1831757376 | Legacy Treatment Services, Inc. | Community/Behavioral Health | 210 Route Us 9 S Ste 202, Marmora, NJ 08223-1271 | 2019-05-30 |
| 1023568524 | Legacy Treatment Services, Inc. | Community/Behavioral Health | 1289 Route 38, Suite #203, Hainesport, NJ 08036-2730 | 2016-10-07 |
| 1437602497 | Legacy Treatment Services, Inc. | In Home Supportive Care | 1289 Route 38 West, Suite #203, Hainesport, NJ 08036-2720 | 2016-07-26 |
| 1588020580 | Legacy Treatment Services, Inc. | Community/Behavioral Health | 7 Quaker Hill Dr, Pittstown, NJ 08867-4026 | 2016-01-06 |
| 1003281924 | Legacy Treatment Services, Inc. | Community/Behavioral Health | 1618 W Front St, Lincroft, NJ 07738-1124 | 2015-12-03 |
| 1417329442 | Legacy Treatment Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 243 Pine St, Mount Holly, NJ 08060-2201 | 2015-10-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEGACY TREATMENT SERVICES, INC | 1289 Route 38 Ste 203, Hainesport, NJ 08036-2730 |
| Street Address |
1187 E WASHINGTON LN |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19138-1061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043788227 | Clinica Pharmacy Inc | Pharmacy | 7157 Ogontz Ave, Philadelphia, PA 19138 | 2018-11-06 |
| 1184152308 | Prime Choice Dental, Inc | Dentist | 7155 Ogontz Ave, Philadelphia, PA 19138 | 2017-06-01 |
| 1063950376 | Prodigy Home Care | Home Health | 6137 Limekiln Pike, Phiadelphia, PA 19138 | 2017-02-07 |
| 1194275313 | William Gary George Jr. | Marriage & Family Therapist | 7101 N 20th St., Phila, PA 19138 | 2016-10-12 |
| 1790234490 | Gary Downing | Counselor | 5702 Boyer St., Philadelphia, PA 19138 | 2016-09-23 |
| 1093153785 | Northwest Medical & Rehabilitation Center PC | Internal Medicine | 6315 Stenton Ave, Philadelphia, PA 19138 | 2013-06-05 |
| 1902045586 | America's Best Contacts & Eyeglasses | Technician/Technologist | 5301 Chew Ave. B1, Philadelphia, PA 19138 | 2009-02-05 |
| 1588848477 | Tasha Carol Smith | Licensed Practical Nurse | 6947 Cedarpark Avenue, Phiadelphia, PA 19138 | 2007-12-27 |
| 1730107970 | Gregory Alan Nelson | Internal Medicine | 6315-17 Stenton Avenue, Philadelphia, PA 19138 | 2006-07-17 |
| 1588699706 | Michael D Helzner | Family Medicine | 1909/17 E Washington Lane, Philadelphia, PA 19138 | 2006-07-12 |
| Find all providers in zip 19138 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750913752 | Legacy Treatment Services, Inc. | Psychiatric Residential Treatment Facility | 5732 Thomas Ave, Philadelphia, PA 19143-4523 | 2020-02-07 |
| 1871639500 | St Francis St Joseph Homes for Children | Psychiatric Residential Treatment Facility | 9600 State Rd, Torresdale House, Philadelphia, PA 19114 | 2007-01-29 |
| 1417971904 | The Renfrew Centers, Inc. | Psychiatric Residential Treatment Facility | 475 Spring Lane, Philadelphia, PA 19128 | 2006-07-27 |
| 1649722349 | Gaudenzia Inc | Psychiatric Residential Treatment Facility | 1306 Spring Garden St, 7th Floor, Philadelphia, PA 19123-3213 | 2016-10-28 |
| 1679933048 | Philadelphia Vamc | Psychiatric Residential Treatment Facility | 1425 Snyder Ave, Philadelphia, PA 19145-2317 | 2016-02-29 |
| 1225361983 | Resources for Human Development, Inc. | Psychiatric Residential Treatment Facility | 3900 City Ave, Jefferson Bldg Room 208, Philadelphia, PA 19131-2908 | 2009-09-14 |
| 1144493362 | St Gabriels System | Psychiatric Residential Treatment Facility | 227 N 18th St, Philadelphia, PA 19103-1212 | 2008-04-09 |
| 1841333770 | Wordsworth Rtf | Psychiatric Residential Treatment Facility | 3905 Ford Rd, Philadelphia, PA 19131-2824 | 2007-02-14 |
| 1518007996 | Crisis Management Services | Psychiatric Residential Treatment Facility | 2401 Penrose Ave, Philadelphia, PA 19145-5350 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467097675 | Children's Center for Treatment and Education | Psychiatric Residential Treatment Facility | 1214 Freeport Rd, Kittanning, PA 16201-4564 | 2019-11-12 |
| 1144888272 | Perseus House, Inc | Psychiatric Residential Treatment Facility | 516 W 7th St, Erie, PA 16502-1333 | 2019-06-04 |
| 1003328071 | Children's Center for Treatment and Education | Psychiatric Residential Treatment Facility | 585 E Main St, Youngsville, PA 16371-1129 | 2017-10-31 |
| 1750746087 | The Devereux Foundation | Psychiatric Residential Treatment Facility | 160 Devereux Rd, Brandywine Rtf - Dormitory 1 Schwartz, Glenmoore, PA 19343-1615 | 2015-12-31 |
| 1588052609 | Perseus House Inc | Psychiatric Residential Treatment Facility | 643 E 6th St, Erie, PA 16507-1729 | 2014-12-23 |
| 1194164442 | Cornell Abraxas Group, Inc | Psychiatric Residential Treatment Facility | 165 Abraxas Rd, Marienville, PA 16239-0059 | 2013-06-20 |
| 1609153626 | Spirit of Gheel | Psychiatric Residential Treatment Facility | 10 Hollow Rd, Spring City, PA 19475 | 2011-11-04 |
| 1083905533 | Lakeview Neurocare Pennsylvania, Inc. | Psychiatric Residential Treatment Facility | 64 Woods Ln, Lewistown, PA 17044-2082 | 2011-05-02 |
| 1265754923 | Southwood Psychiatric Hospital, Inc. | Psychiatric Residential Treatment Facility | 110 Old Concord Rd, Prosperity, PA 15329-1422 | 2010-02-23 |
| 1619299377 | Southwood Psychiatric Hospital, Inc. | Psychiatric Residential Treatment Facility | 120 Old Concord Rd, Prosperity, PA 15329-1422 | 2010-02-23 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19138 |
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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.