Organization Active NPI

Foundations Wellness Center of Pennsylvania

  • Substance Abuse Rehabilitation Facility
  • York, PA
National Provider Identifier
1104334622
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FOUNDATIONS WELLNESS CENTER OF PENNSYLVANIA
Practice address
555 Ryan Run Rd Ste a-E
York, PA 17404-1716
Phone
(772) 812-6852
Fax
(772) 494-7271
NPI assigned
Jan 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Lisa Flynn
Title
MGR
Phone
(772) 812-6852

Specialties & licenses 1

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

Addresses

Primary practice location

555 Ryan Run Rd Ste a-E
York, PA 17404-1716

Mailing address

555 Ryan Run Rd Ste a-E
York, PA 17404-1716
Phone (772) 812-6852

National Provider Directory

National Provider Directory

Locations

555 Ryan Run Rd
Ste Ae
York, PA 17404
Phone (772) 812-6852

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1104334622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 RYAN RUN RD STE A-E",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174041716",
            "telephone_number": "772-812-6852",
            "fax_number": "772-494-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 RYAN RUN RD STE A-E",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174041716",
            "telephone_number": "772-812-6852",
            "fax_number": "772-494-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS WELLNESS CENTER OF PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "772-812-6852"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.