NPIMap

Organization Active NPI

Mount Trexler Manor

  • Assisted Living Facility (Mental Illness)
  • Limeport, PA
National Provider Identifier
1184882805
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
216630 Issued in PA
Legal business name
MOUNT TREXLER MANOR
Practice address
5201 Saint Josephs Road
Limeport, PA 18060-0010
Phone
(610) 965-9021
Fax
(610) 928-0174
NPI assigned
May 29, 2008
Last updated
Apr 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Joan Muth
Title
Director, Project Management
Phone
(610) 965-9021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 216630 PA Primary

Addresses

Primary practice location

5201 Saint Josephs Road
Limeport, PA 18060-0010

Mailing address

5201 Saint Josephs Road
PO Box 1001
Limeport, PA 18060-0010
Phone (610) 965-9021

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1184882805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 SAINT JOSEPHS ROAD",
            "address_2": "PO BOX 1001",
            "city": "LIMEPORT",
            "state": "PA",
            "postal_code": "180600010",
            "telephone_number": "610-965-9021",
            "fax_number": "610-928-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 SAINT JOSEPHS ROAD",
            "city": "LIMEPORT",
            "state": "PA",
            "postal_code": "180600010",
            "telephone_number": "610-965-9021",
            "fax_number": "610-928-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT TREXLER MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "MUTH",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "DIRECTOR, PROJECT MANAGEMENT",
        "authorized_official_telephone_number": "610-965-9021"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "PA",
            "license": "216630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Limeport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.