Lancaster Behavioral Health Hospital LLC
Organization Active NPI Psychiatric Hospital · Lancaster, PA
NPI 1063929115 · NPPES record last updated Jul 2, 2018
Key facts
- NPI
- 1063929115
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital 283Q00000X
- Legal business name
- LANCASTER BEHAVIORAL HEALTH HOSPITAL LLC
- Practice address
- 333 Harrisburg Ave
Lancaster, PA 17603 - Phone
- (610) 768-3300
- NPI assigned
- Jan 10, 2018
- Organization subpart
- No
Authorized official
- Name
- Steve Filton
- Title
- Sr VP Cfo
- Phone
- (610) 768-3300
Owners & managing parties with NPI records 12
Member of 1
Facilities with the same owner 188
Practitioners 53
-
Ajit Jason John, MD
-
Lisa A Lewis, CRNP
-
Neil C Mendonca, CRNP
-
Jeffrey Mathias Mufson, M.D.
-
Emily M Pressley, D.O.
-
Brea Autumn Shue, PMHNP-BC
-
Bruce Todd Smith II, CRNP
-
Laura E White, MD
-
Ademola Bello, M.D.
-
Stacey Bennett-Fulmer, CRNP
-
Nancy J Berill, CRNP
-
Michael David Bowen, M.D.
-
Steven M Cartun, MD
-
Gina Cavorsi, M.D.
-
Robert N Gerstman, D.O.
-
Nicole Renee Grazioli, CRNP
Medicare Care Compare: Hospital
- Listed as
- Lancaster Behavioral Health Hospital
- Type
- Psychiatric
- Ownership
- Voluntary non-profit - Other
- Medicare certification status
- Active
- Emergency services
- No
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2148267 | Lancaster Behavioral Health Hospital | Certificate of waiver | May 7, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA
Hospital certification: CCN 394055
- Legal name
- LANCASTER BEHAVIORAL HEALTH HOSPITAL LLC
- Doing business as
- LANCASTER BEHAVIORAL HEALTH HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Psychiatric
- Participating since
- Sep 14, 2018
- Last certification
- Sep 14, 2018
- Beds
- 126
- Ownership / control type
- Other
- Organization structure
- LLC · Proprietary
- Incorporated
- Jul 22, 2016 in PA
- Enrollment address
- 333 Harrisburg Ave
Lancaster, PA 17603-2951 - Hospital subgroups
- Psychiatric unit
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Trustees of the University of Pennsylvania |
5% Or Greater Indirect Ownership Interest | Apr 7, 2014 | 100% |
| Tammy L Ober |
Corporate Director |
Feb 2, 2018 | 100% |
| Lancaster General Health |
5% Or Greater Indirect Ownership Interest | Oct 26, 2009 | 100% |
| Lancaster General Health Holdings Inc |
5% Or Greater Direct Ownership Interest | Jul 22, 2016 | 50% |
| Michael D Barber |
Corporate Director |
Jan 1, 2024 | |
| Michael S McDonald |
Corporate Director |
Feb 1, 2024 | |
| Alan Moore |
Corporate Director |
Feb 1, 2024 | |
| Steve Filton |
Corporate Officer |
Jul 1, 2018 | 100% |
| Douglas Rinehart |
Corporate Director |
Feb 2, 2018 | 100% |
| Victor J Radina |
Corporate Director |
Feb 1, 2024 | |
| Universal Health Services Inc |
5% Or Greater Indirect Ownership Interest | Jul 22, 2016 | 100% |
| Ryan C Tatu |
Contracted Managing Employee |
Jul 25, 2022 | |
| Corporate Officer |
Jul 25, 2022 | ||
| James M Coleman |
Contracted Managing Employee |
Jul 1, 2018 | 50% |
| Uhs of Lancaster LLC |
5% Or Greater Direct Ownership Interest | Jul 22, 2016 | 50% |
| Uhs of Delaware Inc |
5% Or Greater Indirect Ownership Interest | Jul 22, 2016 | 100% |
| Operational/Managerial Control | Jul 22, 2016 | 100% | |
| Joshua P Sullivan |
Contracted Managing Employee |
Mar 28, 2022 | |
| Corporate Officer |
Mar 28, 2022 | ||
| Alan B Miller |
5% Or Greater Indirect Ownership Interest |
Mar 22, 2023 | 87% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180409002568 | PA | Part a Provider - Hospital | 9234492059 | Practice locations: Lancaster, PA |
| O20180725003500 | PA | Part B Supplier - Clinic/Group Practice | 9234492059 |
Receives reassigned benefits from 52 practitioners Practice locations: Lancaster, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | PA | Yes |
Addresses
Primary practice location
333 Harrisburg Ave
Lancaster, PA 17603
Mailing address
333 Harrisburg Ave
Lancaster, PA 17603-2951
Other names
- Lancaster Behavioral Health Hospital
Other providers in Lancaster, PA
- Lanaster General Hospital
- Lanaster General Hospital
- Lanaster General Hospital
- Lancashire Opco LLC
- Lancaster Accident and Injury Rehab
- Lancaster Cancer Center LTD
- Lancaster Cardiology Group, LLC
- Lancaster Care and Rehabilitation Center LLC
- Lancaster Chiropractic & Massage Therapy Associates
- Lancaster Chiropractic Clinic
All providers in Lancaster, PA · Psychiatric Hospital in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.