Organization Active NPI

Endless Mountains Extended Care, LLC

  • Substance Abuse Rehabilitation Facility
  • Factoryville, PA
National Provider Identifier
1043785405
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ENDLESS MOUNTAINS EXTENDED CARE, LLC
Practice address
1042 Lithia Valley Rd
Factoryville, PA 18419-7949
Phone
(570) 219-4401
NPI assigned
Oct 11, 2018
Last updated
Oct 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Authorized official

Name
Dr. Arianne Scheller, PHD., LPCNPI 1952680365
Title
Owner/Clinical Director
Phone
(570) 219-4401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

1042 Lithia Valley Rd
Factoryville, PA 18419-7949

Mailing address

1042 Lithia Valley Rd
Factoryville, PA 18419-7949
Phone (570) 219-4401

National Provider Directory

National Provider Directory

Locations

1042 Lithia Valley Rd
Factoryville, PA 18419
Phone (570) 219-4401

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1043785405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 LITHIA VALLEY RD",
            "city": "FACTORYVILLE",
            "state": "PA",
            "postal_code": "184197949",
            "telephone_number": "570-219-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 LITHIA VALLEY RD",
            "city": "FACTORYVILLE",
            "state": "PA",
            "postal_code": "184197949",
            "telephone_number": "570-219-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDLESS MOUNTAINS EXTENDED CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "SCHELLER",
        "authorized_official_first_name": "ARIANNE",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "570-219-4401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD., LPC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Factoryville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.