Active NPI
Adelphoi Village, Inc.
- Community/Behavioral Health Agency
- Latrobe, PA
National Provider Identifier
1033376256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 423910
- Legal business name
- ADELPHOI VILLAGE, INC.
- Practice address
- 1119 Village Way
Latrobe, PA 15650-5201 - Phone
- (724) 520-1111
- Fax
- (724) 520-1878
- NPI assigned
- May 16, 2008
- Last updated
- Aug 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Leigh Hershberger
- Title
- Revenue Cycle Manager
- Phone
- (724) 804-7193
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 423910 | PA | |
| Community/Behavioral Health Agency | 251S00000X | 423910 | PA | Primary |
Addresses
Primary practice location
1119 Village Way
Latrobe, PA 15650-5201
Mailing address
1119 Village Way
Latrobe, PA 15650-5201
Phone (724) 520-1111
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A747622 | Other | PA | VBH VENDOR ID - WESTMORELAND |
| A747621 | Other | PA | VBH VENDOR ID - WASHINGTON |
| A882141 | Other | PA | VBH VENDOR ID - CAMBRIA |
| A979981 | Other | PA | VBH VENDOR ID - MERCER |
| A154172 | Other | PA | VBH VENDOR ID - BEAVER |
| 1007447300017 | Medicaid | PA | |
| A747622 | Other | PA | VBH VENDOR ID - ARMSTRONG |
| A747622 | Other | PA | VBH VENDOR ID - INDIANA |
| A953496 | Other | PA | VBH VENDOR ID - FAYETTE |
| MST-5000744730 | Other | PA | CBHNP VENDOR ID - BLAIR/CUMBERLAND/PERRY |
| A747621 | Other | PA | VBH VENDOR ID - GREENE |
National Provider Directory
National Provider Directory- Tax ID family
- Adelphoi Village
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Latrobe, PA
- NPI 1508983289
-
- Psychologist
- Latrobe, PA
- NPI 1013034750
-
- Community/Behavioral Health Agency
- Latrobe, PA
- NPI 1184240129
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Latrobe, PA
- NPI 1841317575
-
- Adolescent and Children Mental Health Clinic/Center
- Latrobe, PA
- NPI 1932226669
Locations
1119 Village Way
Latrobe, PA 15650
Phone (724) 433-1925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598227200000",
"number": "1033376256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 VILLAGE WAY",
"city": "LATROBE",
"state": "PA",
"postal_code": "156505201",
"telephone_number": "724-520-1111",
"fax_number": "724-520-1878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 VILLAGE WAY",
"city": "LATROBE",
"state": "PA",
"postal_code": "156505201",
"telephone_number": "724-520-1111",
"fax_number": "724-520-1878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADELPHOI VILLAGE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-16",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A",
"authorized_official_last_name": "HERSHBERGER",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
"authorized_official_telephone_number": "724-804-7193"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "PA",
"license": "423910",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "423910",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBH VENDOR ID - WESTMORELAND",
"identifier": "A747622",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBH VENDOR ID - WASHINGTON",
"identifier": "A747621",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBH VENDOR ID - CAMBRIA",
"identifier": "A882141",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBH VENDOR ID - MERCER",
"identifier": "A979981",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBH VENDOR ID - BEAVER",
"identifier": "A154172",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007447300017",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBH VENDOR ID - ARMSTRONG",
"identifier": "A747622",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBH VENDOR ID - INDIANA",
"identifier": "A747622",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBH VENDOR ID - FAYETTE",
"identifier": "A953496",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBHNP VENDOR ID - BLAIR/CUMBERLAND/PERRY",
"identifier": "MST-5000744730",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBH VENDOR ID - GREENE",
"identifier": "A747621",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Latrobe, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.