Pennsylvania Department of Human Services
Organization Active NPI Psychiatric Hospital · Torrance, PA
NPI 1376526111 · NPPES record last updated Oct 4, 2021
Key facts
- NPI
- 1376526111
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital 283Q00000X
- Legal business name
- PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES
- Practice address
- State Route 1014
Torrance, PA 15779-0111 - Phone
- (724) 459-4511
- Fax
- (724) 459-4498
- NPI assigned
- Nov 25, 2005
- Organization subpart
- No
Authorized official
- Name
- Kathy Light
- Title
- Administrator
- Phone
- (717) 772-2518
Owners & managing parties with NPI records 11
-
Alfonso Segundo Arevalo, M.D.
-
Brent Ednie, M.D.
Owned or controlled facilities with NPI records 6
Other NPIs with the same Medicare PAC ID 9
Corporate family (same tax ID) 15
Facilities with the same owner 5
Practitioners 57
-
Pushkalai R. Pillai, M.D.
-
William J Hocter Jr., M.D.
-
Alfonso Segundo Arevalo, M.D.
-
Stephen Lamar Burkholder, M.D.
-
Lynn Anne Cornelius, D.O.
-
Brent Ednie, M.D.
-
Lindsey Elizabeth Fitzgerald, FNP-BC
-
James Galinac, NURSE PRACTITIONER
-
Sheri Lynn Goldstrohm, PH.D.
-
Purushothama Iyengar, M.D.
-
Mahalingiah Prasad, M.D.
-
Megan Leigh Reed, CRNP
-
Richard L Reilly, DPM
-
Andrea Marie Requa, D.O.
-
Richard Rudman, M.D.
-
Faiyaz Uddin, M.D.
-
Deanna Catherine Villanueva, FNP-C
-
Odezza Agustin Bautista, M.D.
-
Usha A Bhargave, MD
Medicare Care Compare: Hospital
- Listed as
- Torrance State Hospital
- Type
- Psychiatric
- Ownership
- Government - State
- Medicare certification status
- Active
- Emergency services
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA
Hospital certification: CCN 394026
- Legal name
- PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES
- Doing business as
- TORRANCE STATE HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Psychiatric
- Participating since
- Jul 14, 1966
- Last certification
- Jan 10, 2024
- Beds
- 357
- Ownership / control type
- State
- Organization structure
- Government · Non-profit
- Enrollment address
- 121 Longview Dr
Torrance, PA 15779-1008 - Hospital subgroups
- Other
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Pennsylvania Department of Human Services |
Operational/Managerial Control | Jul 1, 1966 | 100% |
| John Odonnell |
W-2 Managing Employee |
Jun 1, 1998 | |
| Brent Ednie |
W-2 Managing Employee |
Oct 6, 2025 | |
| Angela Harris |
W-2 Managing Employee |
Dec 20, 2010 | |
| Celina Vigna |
W-2 Managing Employee |
Jan 7, 2023 | |
| Roberta Lawrence |
W-2 Managing Employee |
Apr 11, 2005 | |
| Stacey Keilman |
W-2 Managing Employee | Nov 17, 2020 | |
| Operational/Managerial Control | Feb 26, 2006 | ||
| Alfonso S Arevalo |
Contracted Managing Employee |
Sep 1, 2017 | |
| W-2 Managing Employee |
Sep 1, 2017 | ||
| Cristopher Hanlon |
W-2 Managing Employee |
May 1, 2025 |
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Warren State Hospital |
Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Wernersville State Hospital |
Hospital | Operational/Managerial Control | Feb 10, 2007 |
| Danville State Hospital |
Hospital | Operational/Managerial Control | Dec 31, 2011 |
| Norristown State Hospital |
Hospital | Operational/Managerial Control | Jul 12, 1966 |
| Pennsylvania Department of Human Services |
Hospital | Operational/Managerial Control | Dec 24, 2014 |
| South Mountain Restoration Center |
Skilled nursing facility | Adp of the SNF | Sep 15, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040930000019 | PA | Part B Supplier - Clinic/Group Practice | 0547168064 |
Receives reassigned benefits from 23 practitioners Practice locations: Torrance, PA |
| O20070217000029 | PA | Part a Provider - Hospital | 0547168064 | Practice locations: Torrance, PA |
National Provider Directory
- Tax ID family
- Haverford State Hosp
Locations
625 Forester St
Rm 605
Harrisburg, PA 17120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | Yes | ||
| Institutional Pharmacy | 3336I0012X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
State Route 1014
Torrance, PA 15779-0111
Mailing address
State Route 1014
Torrance, PA 15779-0111
Phone (724) 459-4511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100308518 | Medicaid | PA |
Other names
- Torrance State Hospital
Other providers in Torrance, PA
- Ina Lynn Joubert
- Gail M Kubrin
- Gregory John Lytwak
- Cole McCracken
- Peter Akos Migaly
- Subhash Chandra Bose Pinnaka
- Mahalingiah Prasad
- Mary L. Ritz
- Southwest Behavioral Care, Inc.
- Torrance State Hospital Pharmacy
All providers in Torrance, PA · Psychiatric Hospital in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.