Organization Active NPI

Lancaster Behavioral Health Hospital LLC

Doing business as Lancaster Behavioral Health Hospital

  • Psychiatric Hospital
  • Lancaster, PA
National Provider Identifier
1063929115
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
LANCASTER BEHAVIORAL HEALTH HOSPITAL LLC
Doing business as
Lancaster Behavioral Health Hospital
Practice address
333 Harrisburg Ave
Lancaster, PA 17603
Phone
(610) 768-3300
NPI assigned
Jan 10, 2018
Last updated
Jul 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Authorized official

Name
Steve Filton
Title
Sr VP Cfo
Phone
(610) 768-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X PA Primary

Addresses

Primary practice location

333 Harrisburg Ave
Lancaster, PA 17603

Mailing address

333 Harrisburg Ave
Lancaster, PA 17603-2951

Other names 1

  • Lancaster Behavioral Health Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063929115. Details of each certification follow.

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
LLCProprietary
Incorporated
Jul 22, 2016 in PA
Enrollment address
333 Harrisburg Ave
Lancaster, PA 17603-2951
Other Hospital Practice Location
Hospital subgroups
Psychiatric unit

Care Compare: Hospital

Medicare Care Compare
Listed as
Lancaster Behavioral Health HospitalCCN 394055 · All quality measures
Type
Psychiatric
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

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
39D2148267Lancaster Behavioral Health Hospital333 Harrisburg Avenue, Lancaster, PA 17603Certificate of waiverMay 7, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

333 Harrisburg Ave
Lancaster, PA 17603
Phone (717) 740-4100

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Trustees of the University of Pennsylvania Organization, Phila, PA Non-profit 5% Or Greater Indirect Ownership Interest Apr 7, 2014 100%
Tammy L Ober Individual Corporate DirectorBoard Member Feb 2, 2018 100%
Lancaster General Health Organization, Lancaster, PA Corporation 5% Or Greater Indirect Ownership Interest Oct 26, 2009 100%
Lancaster General Health Holdings Inc Organization, Lancaster, PA Corporation 5% Or Greater Direct Ownership Interest Jul 22, 2016 50%
Michael D Barber Individual Corporate DirectorBoard Member Jan 1, 2024
Michael S McDonald Individual Corporate DirectorBoard Member Feb 1, 2024
Alan Moore Individual Corporate DirectorBoard Member Feb 1, 2024
Steve Filton Individual Corporate OfficerVice President Jul 1, 2018 100%
Douglas Rinehart Individual Corporate DirectorBoard Member Feb 2, 2018 100%
Victor J Radina Individual Corporate DirectorBoard Member Feb 1, 2024
Universal Health Services Inc Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Jul 22, 2016 100%
Ryan C Tatu Individual Contracted Managing EmployeeCeo Jul 25, 2022
Corporate OfficerCeo Jul 25, 2022
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager Jul 1, 2018 50%
Uhs of Lancaster LLC Organization, King of Prussia, PA LLC 5% Or Greater Direct Ownership Interest Jul 22, 2016 50%
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Jul 22, 2016 100%
Operational/Managerial Control Jul 22, 2016 100%
Joshua P Sullivan Individual Contracted Managing EmployeeCfo Mar 28, 2022
Corporate OfficerCfo Mar 28, 2022
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestChairman Mar 22, 2023 87%

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 188

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 188

Practitioners & affiliated clinicians

Practitioners 53

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.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1063929115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 HARRISBURG AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 HARRISBURG AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17603",
            "telephone_number": "610-768-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER BEHAVIORAL HEALTH HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SR VP CFO",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lancaster Behavioral Health Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.