Gods Mountain Recovery Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

GODS MOUNTAIN RECOVERY CENTER

Practice address

94 Adams Dr
Waymart, PA 18472

Phone

(215) 971-0143

Fax

(215) 442-9272

NPI assigned

Dec 4, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Joseph QuinonesNPI 1487289351

Title

Cfo

Phone

(215) 971-0143

Specialties & licenses 2

Addresses

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

CLIA laboratory certificates

Tax ID family

Gods Mountain Recovery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gods Mountain Recovery Center

  • Addiction (Substance Use Disorder) Counselor
  • Doylestown, PA
  • NPI 1396668489
  NPD tax ID

Locations

Practitioners 1

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

• Joseph Quinones

  • Pastoral Counselor
  • Waymart, PA
  • NPI 1487289351
  NPD Authorized official

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1083129886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 W STREET RD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189743112",
            "telephone_number": "215-971-0143",
            "fax_number": "215-442-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 ADAMS DR",
            "city": "WAYMART",
            "state": "PA",
            "postal_code": "18472",
            "telephone_number": "215-971-0143",
            "fax_number": "215-442-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODS MOUNTAIN RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-971-0143",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Edlind
• Janet B Eisele, MSN, CRNP, C
• Jessica Giannetti, CRNP
• Jacqueline A Gillern, CRNP-APMH
• Maureen Gilroy, OT
• Thomas Gavin Gravine
• Chelsea Grecco, PA-C
• Nicholas Heasley, DC
• Sondra Louise Holmes, PT
• Andrea Noel Inscoe, MS, WHC

• Substance Use Disorder Rehabilitation Clinic/Center in Waymart, PA
• Providers in Waymart, PA by specialty
• 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 Dec 4, 2017; 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.