Gemini Recovery Centers at Scranton, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

GEMINI RECOVERY CENTERS AT SCRANTON, LLC

Practice address

1123 Capouse Ave
Scranton, PA 18509-2730

Phone

(718) 530-3535

Fax

(570) 451-5250

NPI assigned

Nov 22, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alexis A. Baez, MBA

Title

Executive Director

Phone

(718) 530-3535

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1043085608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 CAPOUSE AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092730",
            "telephone_number": "718-530-3535",
            "fax_number": "570-451-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 CAPOUSE AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092730",
            "telephone_number": "718-530-3535",
            "fax_number": "570-451-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMINI RECOVERY CENTERS AT SCRANTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "BAEZ",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-530-3535",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geisinger Viewmont Imaging, a Service of GCMC
• Geisinger Viewmont Physical Therpy, a Service of GCMC
• Geisinger Viewmont Sleep Center, a Service of GCMC
• Geisinger Viewmont Sleep Disorder Center
• Geisinger Wyoming Valley
• Gerard Thomes Genco, GERARD GENCO
• Louis Genello, DDS
• Amanda Gentile, LPC
• Kenneth W. Gentilezza, M.D.
• Olivia Elizabeth Gentilezza, PA-C

• All providers in Scranton, PA
• Substance Use Disorder Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.