WHITE DEER RUN, INC (NPI# 1750581609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750581609 |
| Entity Type | Organization |
| Organization Name | WHITE DEER RUN, INC |
| Other Organization Name | COVE FORGE BEHAVIORAL HEALTH SYSTEMS |
| Practice Address |
202 Cove Forge Road Williamsburg PA 16693-9673 |
| Practice Telephone | 8008732131 |
| Mailing Telephone | 8008732131 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2010-07-16 |
| Authorized Official Name | JOSEPH PROCOPIO (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 8002552335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
077009 | PA | Behavioral Health & Social Service Providers |
| N | 261Q00000X | Clinic/Center | 077009 | PA | Ambulatory Health Care Facilities |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
077009 | PA | Ambulatory Health Care Facilities |
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 077009 | PA | Residential Treatment Facilities |
| N | 323P00000X | Psychiatric Residential Treatment Facility | 077009 | PA | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 077009 | PA | Residential Treatment Facilities |
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
077009 | PA | Residential Treatment Facilities |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
077009 | PA | Behavioral Health & Social Service Providers |
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 077009 | PA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007567870023 | 05 |
| Other Name | Type Code |
|---|---|
| Cove Forge Behavioral Health Systems | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386890713 | White Deer Run, Inc | Community/Behavioral Health | Open Building Number 13, Torrance State Hospital, Torrance, PA 15779 | 2008-08-18 |
| 1659570299 | White Deer Run, Inc | Counselor | 106 Davies Dr, York, PA 17402-8605 | 2007-07-13 |
| 1649391319 | White Deer Run, Inc | Counselor | 8284 Leaser Road, Kempton, PA 19529 | 2007-04-02 |
| 1912027921 | White Deer Run, Inc | Community/Behavioral Health | 624 Broad St, Johnstown, PA 15906-2524 | 2007-03-31 |
| 1952421968 | White Deer Run, Inc | Clinic/Center | 1921 W 8th St, Erie, PA 16505-4936 | 2007-03-31 |
| 1902926918 | White Deer Run, Inc | Community/Behavioral Health | 901 Westminster Dr, Williamsport, PA 17701-3909 | 2007-03-31 |
| 1942320957 | White Deer Run, Inc | Counselor | 53 N West End Ave # 55, Lancaster, PA 17603-3226 | 2007-03-31 |
| 1427178417 | White Deer Run, Inc | Clinic/Center | 1216 Pleasant Valley Blvd, Suite E, Altoona, PA 16602-4750 | 2007-03-31 |
| 1528339215 | White Deer Run, Inc | Community/Behavioral Health | 110 Main St, Watsontown, PA 17777-1740 | 2012-01-26 |
| 1992996730 | White Deer Run, Inc | Community/Behavioral Health | 202 Cove Forge Road, Williamsburg, PA 16693-9673 | 2007-08-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | WHITE DEER RUN, INC. | 111 Eighth Avenue, New York, New York 10011 |
| Street Address |
202 COVE FORGE ROAD |
| City | WILLIAMSBURG |
| State | PA |
| Zip Code | 16693-9673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871795765 | Stephanie A Hoover | Physician Assistant | 202 Cove Forge Road, Cove Forge Behavioral Health, Williamsburg, PA 16693 | 2007-06-03 |
| 1992996730 | White Deer Run, Inc | Community/Behavioral Health | 202 Cove Forge Road, Williamsburg, PA 16693-9673 | 2007-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659580348 | John Taylor Symons | Family Medicine | 1 New Beginnings Road, Williamsburg, PA 16693 | 2007-05-21 |
| 1336280296 | Thomas Baumgarten | Emergency Medicine | Cove Forge Road, Route 1, Williamsburg, PA 16693 | 2007-02-12 |
| 1386607539 | Williamsburg Ambulance Club | Ambulance | 418 W Second St, Williamsburg, PA 16693 | 2006-04-10 |
| 1114021573 | Dicks Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 318 E 1st St, Williamsburg, PA 16693-1006 | 2006-09-07 |
| 1043831761 | Williamsburg Pharmacy Inc | Pharmacy | 318 E 1st St, Williamsburg, PA 16693-1006 | 2020-05-04 |
| 1467456202 | Laura J Siems | Family Medicine | 306 Plum St, Williamsburg, PA 16693-1116 | 2005-06-09 |
| 1730409509 | Jacqulin Amber Fabina | Family Medicine | 306 Plum St, Williamsburg, PA 16693-1116 | 2010-06-03 |
| 1437100765 | Upmc Altoona | General Acute Care Hospital | 306 Plum St, Williamsburg, PA 16693-1116 | 2006-05-12 |
| 1386695518 | Fiona J Mclellan | Family Medicine | 306 Plum St, Williamsburg, PA 16693-1116 | 2006-05-12 |
| 1467619767 | Williamsburg Community School District | Local Education Agency (LEA) | 515 W 3rd St, Williamsburg, PA 16693-1121 | 2008-05-22 |
| Find all providers in zip 16693 | ||||
| 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 |
|---|---|---|---|---|
| 1184868739 | Arbor View | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5405 Fomorin Rd, Williamsburg, OH 45176-9575 | 2009-04-27 |
| 1730323312 | Cedar Creek | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5411 Fomorin Rd, Williamsburg, OH 45176-9575 | 2009-04-27 |
| 1477965838 | Faith Hope Care Provider | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 153 Blackheath, Williamsburg, VA 23188-7482 | 2014-05-20 |
| 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 | ||||
| City | WILLIAMSBURG |
| Zip Code | 16693 |
Please comment or provide details below to improve the information on WHITE DEER RUN, INC.
| 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.