NPIMap

Organization Active NPI

Success Rehabilitation, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Quakertown, PA
National Provider Identifier
1376759902
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
A98000 Issued in PA
Legal business name
SUCCESS REHABILITATION, INC.
Practice address
5666 Clymer Road
Quakertown, PA 18951-3264
Phone
(215) 538-3488
Fax
(215) 538-8931
NPI assigned
May 14, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Anthony Joseph Raub
Title
Financial Manager
Phone
(215) 538-3488

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20191120002191 PA Part B Supplier - Clinic/Group Practice 9436431889 Receives reassigned benefits from 15 practitioners
Practice locations: Quakertown, PA; Lancaster, PA; Dublin, PA; Bethlehem, PA

National Provider Directory

National Provider Directory

Locations

161 N Main St
Ste 148
Dublin, PA 18917
Phone (215) 538-3488

161 N Main St
#14B
Dublin, PA 18917
Phone (215) 538-3488

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X A98000 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

5666 Clymer Road
Quakertown, PA 18951-3264

Mailing address

5666 Clymer Rd
Quakertown, PA 18951-3264
Phone (215) 538-3488

Other practice location 1

361 South 11th Street
Quakertown, PA 18951-1985
Phone (215) 538-3488

Other practice location 2

161 North Main Street
Ste 148
Dublin, PA 18917-1409
Phone (215) 538-3488

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1006808940006MedicaidPA
1006808940002MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2023.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1376759902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5666 CLYMER RD",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189513264",
            "telephone_number": "215-538-3488",
            "fax_number": "215-538-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5666 CLYMER ROAD",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189513264",
            "telephone_number": "215-538-3488",
            "fax_number": "215-538-8931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "361 South 11th Street",
            "address_purpose": "LOCATION",
            "city": "Quakertown",
            "state": "PA",
            "postal_code": "189511985",
            "country_code": "US",
            "telephone_number": "215-538-3488",
            "fax_number": "215-538-8692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 North Main Street",
            "address_2": "Ste 148",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "PA",
            "postal_code": "189171409",
            "country_code": "US",
            "telephone_number": "215-538-3488",
            "fax_number": "215-538-8692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUCCESS REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "RAUB",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "215-538-3488",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "PA",
            "license": "A98000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006808940006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006808940002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quakertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.