RICHARDSON'S CLARKSVILLE RESTHOME (NPI# 1780858910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780858910 |
| Entity Type | Organization |
| Organization Name | RICHARDSON'S CLARKSVILLE RESTHOME |
| Practice Address |
334 Pitgas Rd Clarksville PA 15322-6345 |
| Practice Telephone | 7243779273 |
| Mailing Telephone | 7243779273 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |
| Authorized Official Name | MRS. MARIETTA ROSE RICHARDSON (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 7243779273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
445200 | PA | Nursing & Custodial Care Facilities |
| Street Address |
334 PITGAS RD |
| City | CLARKSVILLE |
| State | PA |
| Zip Code | 15322-6345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295982585 | Precious Moments Personal Care Home, Inc. | Custodial Care Facility | 245 Center Street, Clarksville, PA 15322 | 2008-08-19 |
| 1689845901 | Clarksville & Community Volunteer Fire Department | Ambulance | 343 Center Street, Clarksville, PA 15322 | 2008-03-14 |
| 1679776546 | Clarksville Ambulance Service | Emergency Medical Technician, Basic | 244 Center St, Clarksville, PA 15322-2106 | 2007-06-07 |
| 1740560945 | Sharon Suzette Bates | Nurse Practitioner | 286 Bacon Run Rd, Clarksville, PA 15322-6312 | 2011-08-19 |
| 1366594525 | Brian Christopher Gullett | General Practice | 343 Adamik Rd, Clarksville, PA 15322-7395 | 2007-01-17 |
| 1912022153 | Kristin Smith | Emergency Medicine | 343 Adamik Rd, Clarksville, PA 15322-7395 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557380 | Ironwood Dental | Clinic/Center | 2550 Madison St, Clarksville, TN 37043-3704 | 2020-10-29 |
| 1043810849 | Olushola Taiwo Adekoya | Nurse Practitioner | 6909 Crossfield Ct, Clarksville, MD 21029-1749 | 2020-10-29 |
| 1629677307 | Samantha Kate Wacenske | Counselor | 1925 Ashland City Rd Apt 1422, Clarksville, TN 37043-1610 | 2020-10-22 |
| 1659970960 | Lyndsey Cooper | Dietitian, Registered | 1060 W Creek Coyote Trl Apt 1507, Clarksville, TN 37042-8267 | 2020-10-19 |
| 1356948509 | Meagan H Jones | Counselor | 3328 Mallard Dr, Clarksville, TN 37042-4754 | 2020-10-01 |
| 1982211421 | Jason Joseph | Massage Therapist | 173 Whitman Aly, Clarksville, TN 37043-6340 | 2020-09-29 |
| 1447867114 | Tricia M Love | Massage Therapist | 4755 Highway 31 E Unit B, Clarksville, IN 47129-9220 | 2020-09-28 |
| 1750997912 | Steven W Spalding | Massage Therapist | 4755 Us-31 East, Clarksville, IN 47129 | 2020-09-22 |
| 1336755040 | Lana Lee Williams | Assistant Behavior Analyst | 21220 Nw Janney Rd, Clarksville, FL 32430-2122 | 2020-09-17 |
| 1255946463 | Independent Physical Therapy, LLC | Occupational Therapist | 1011 Winn Way Ste 110, Clarksville, TN 37043-0614 | 2020-09-14 |
| Find all providers in CLARKSVILLE | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841407681 | Clarksville Retirement Center | Custodial Care Facility | 311 S Central St, Clarksville, AR 72830-3601 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837218 | Felix Hernandez | Custodial Care Facility | 814 Saint Paul St, Lewisburg, PA 17837-1210 | 2019-12-04 |
| 1811483084 | Silvercare Personal Care LLC | Custodial Care Facility | 34 Copley Rd, Upper Darby, PA 19082-2512 | 2018-07-10 |
| 1265963391 | Sunil Senior Care LLC | Custodial Care Facility | 220 E Chelten Ave, Philadelphia, PA 19144 | 2017-03-21 |
| 1295275519 | Nonprofit Development Corporation | Custodial Care Facility | 921 Grant Ave, East Butler, PA 16029 | 2017-03-06 |
| 1164875696 | White Lily Home Care Inc | Custodial Care Facility | 4915 Wynnefield Avenue, 1af, Wynnefield Heights, PA 19131 | 2016-07-20 |
| 1043661341 | Xzavier Hunter | Custodial Care Facility | 7007 York Rd, Abbottstown, PA 17301-9774 | 2016-06-28 |
| 1801292990 | Alpa Care Concepts | Custodial Care Facility | 6649 Woodland Ave, Philadelphia, PA 19142-1621 | 2014-11-17 |
| 1376971135 | Pocono Tranquil Gardens, LLC | Custodial Care Facility | 329 E Brown St, East Stroudsburg, PA 18301-3014 | 2013-10-14 |
| 1205273943 | Golden Age Care LLC | Custodial Care Facility | 716 Red Lion Rd, Philadelphia, PA 19115-1307 | 2013-06-03 |
| 1689913196 | Keystone Independent Living | Custodial Care Facility | 202 Boulevard Ave, Peckville, PA 18452-1002 | 2013-02-04 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 15322 |
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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.