Organization Active NPI

St. Joseph Institute, LLC

  • Substance Abuse Rehabilitation Facility
  • Port Matilda, PA
National Provider Identifier
1063732717
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
147034 Issued in PA
Legal business name
ST. JOSEPH INSTITUTE, LLC
Doing business as
St. Joseph Institute
Practice address
134 Jacobs Way
Port Matilda, PA 16870
Phone
(814) 692-4954
Fax
(814) 692-4485
NPI assigned
Jun 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
James Stephen Hinkle
Title
General Counsel & Secretary
Phone
(615) 637-7218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 147034 PA Primary

Addresses

Primary practice location

134 Jacobs Way
Port Matilda, PA 16870

Mailing address

134 Jacobs Way
Port Matilda, PA 16870-9240
Phone (814) 692-4954

Other practice location 1

11269 Perry Hwy Ste 430
Wexford, PA 15090-9388
Phone (888) 352-3297

Other names 1

  • St. Joseph Institute Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2091185St Joseph Institute134 Jacobs Way, Port Matilda, PA 16870Certificate of waiverFeb 8, 2027
39D2311385St Joseph Institute, LLC11269 Perry Highway, Suite 430, Wexford, PA 15090Certificate of waiverSep 19, 2026

National Provider Directory

National Provider Directory

Locations

11269 Perry Hwy
Ste 430
Wexford, PA 15090
Phone (888) 352-3297

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1063732717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 JACOBS WAY",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168709240",
            "telephone_number": "814-692-4954",
            "fax_number": "814-692-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 JACOBS WAY",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "16870",
            "telephone_number": "814-692-4954",
            "fax_number": "814-692-4485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11269 Perry Hwy Ste 430",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150909388",
            "country_code": "US",
            "telephone_number": "888-352-3297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. JOSEPH INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "GENERAL COUNSEL & SECRETARY",
        "authorized_official_telephone_number": "615-637-7218"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": "147034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Matilda, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.