NPIMap

Organization Active NPI

Twin Lakes Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Somerset, PA
National Provider Identifier
1235458472
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
561089 Issued in PA
Legal business name
TWIN LAKES CENTER, INC.
Practice address
224 Twin Lake Rd
Somerset, PA 15501-7727
Phone
(814) 443-3639
NPI assigned
May 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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

Authorized official

Name
Ms. Brooke McKenzie, LCSW
Title
Executive Director
Phone
(814) 443-3639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 561089 PA Primary

Addresses

Primary practice location

224 Twin Lake Rd
Somerset, PA 15501-7727

Mailing address

224 Twin Lake Rd
PO Box 909
Somerset, PA 15501-7727
Phone (814) 443-3639

Other identifiers 1

IdentifierTypeStateIssuer
100773311MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Twin Lakes Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

224 Twin Lake Rd
Somerset, PA 15501
Phone (814) 443-3639

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501113600000",
    "number": "1235458472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 TWIN LAKE RD",
            "address_2": "PO BOX 909",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155017727",
            "telephone_number": "814-443-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 TWIN LAKE RD",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155017727",
            "telephone_number": "814-443-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN LAKES CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2017-07-27",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-443-3639",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": "561089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100773311",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.