NPIMap

Organization Active NPI

Pennsylvania Department of Human Services

Doing business as Torrance State Hospital

  • Psychiatric Hospital
  • Torrance, PA
National Provider Identifier
1376526111
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES
Doing business as
Torrance State Hospital
Practice address
State Route 1014
Torrance, PA 15779-0111
Phone
(724) 459-4511
Fax
(724) 459-4498
NPI assigned
Nov 25, 2005
Last updated
Oct 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Kathy Light
Title
Administrator
Phone
(717) 772-2518

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary
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 names 1

  • Torrance State Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376526111. Details of each certification follow.

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
GovernmentNon-profit
Enrollment address
121 Longview Dr
Torrance, PA 15779-1008
Hospital Psychiatric Unit
Hospital subgroups
Other

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Torrance State HospitalCCN 394026 · All quality measures
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
PA Dept of Public Welfa16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

625 Forester St
Rm 605
Harrisburg, PA 17120

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Pennsylvania Department of Human Services Organization, Torrance, PA Operational/Managerial Control Jul 1, 1966 100%
John Odonnell Individual W-2 Managing EmployeeChief Operating Officer Jun 1, 1998
Brent Ednie Individual W-2 Managing EmployeeChief Medical Officer Oct 6, 2025
Angela Harris Individual W-2 Managing EmployeeChief Social SVCS Dec 20, 2010
Celina Vigna Individual W-2 Managing EmployeeChief Nurse Executive Jan 7, 2023
Roberta Lawrence Individual W-2 Managing EmployeeSRTP Executive Dir Apr 11, 2005
Stacey Keilman Individual W-2 Managing Employee Nov 17, 2020
Operational/Managerial Control Feb 26, 2006
Alfonso S Arevalo Individual Contracted Managing EmployeeCMS Chief Medical Services Sep 1, 2017
W-2 Managing EmployeeCMS Chief Medical Services Sep 1, 2017
Cristopher Hanlon Individual W-2 Managing EmployeeChief Performance May 1, 2025

Owners & managing parties with NPI records 11

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Warren State HospitalNorth Warren, PA, CCN 394016 Hospital Operational/Managerial Control Jan 1, 1966
Wernersville State HospitalWernersville, PA, CCN 394014 Hospital Operational/Managerial Control Feb 10, 2007
Danville State HospitalDanville, PA, CCN 394004 Hospital Operational/Managerial Control Dec 31, 2011
Norristown State HospitalNorristown, PA, CCN 394001 Hospital Operational/Managerial Control Jul 12, 1966
Pennsylvania Department of Human ServicesClarks Summit, PA, CCN 394012 Hospital Operational/Managerial Control Dec 24, 2014
South Mountain Restoration CenterSouth Mountain, PA, CCN 395583 Skilled nursing facility Adp of the SNF Sep 15, 2025

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1376526111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STATE ROUTE 1014",
            "city": "TORRANCE",
            "state": "PA",
            "postal_code": "157790111",
            "telephone_number": "724-459-4511",
            "fax_number": "724-459-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE ROUTE 1014",
            "city": "TORRANCE",
            "state": "PA",
            "postal_code": "157790111",
            "telephone_number": "724-459-4511",
            "fax_number": "724-459-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-25",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "717-772-2518"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Torrance State Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Torrance State Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, PA

Sources for this page

Verify at the official NPI Registry.