NPIMap

Organization Active NPI

Martha Lloyd CRF Day Program

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Troy, PA
National Provider Identifier
1093829368
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
MARTHA LLOYD CRF DAY PROGRAM
Practice address
190 W Main St
Troy, PA 16947-1131
Phone
(570) 297-2185
NPI assigned
Aug 17, 2006
Last updated
Mar 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
William Miller
Title
CRF Director
Phone
(570) 297-2185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

190 W Main St
Troy, PA 16947-1131

Mailing address

190 W Main St
Troy, PA 16947-1131
Phone (570) 297-2185

Other identifiers 6

IdentifierTypeStateIssuer
1710946686OtherPADR VANCE GOOD, MD
000699330OtherPAHIGHMARK BLUE SHIELD
1316910318OtherPAMS. LORI LEE PERRY CRNP
1015544810013MedicaidPA
1093843906OtherPAKARI WOOD
1750361945OtherPAPHYSICIANCARE PC

National Provider Directory

National Provider Directory
Tax ID family
Martha Lloyd Community Residential Facility35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1093829368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W MAIN ST",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169471131",
            "telephone_number": "570-297-2185",
            "fax_number": "570-297-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W MAIN ST",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169471131",
            "telephone_number": "570-297-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA LLOYD CRF DAY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CRF DIRECTOR",
        "authorized_official_telephone_number": "570-297-2185"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR VANCE GOOD, MD",
            "identifier": "1710946686",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000699330",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS. LORI LEE PERRY CRNP",
            "identifier": "1316910318",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015544810013",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KARI WOOD",
            "identifier": "1093843906",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANCARE PC",
            "identifier": "1750361945",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.