Bell Club,Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

335540 Issued in PA

Legal business name

BELL CLUB,INC.

Doing business as

Bell Socialization Services,Inc.

Practice address

202 Cedar Street
Red Lion, PA 17356

Phone

(717) 244-0354

NPI assigned

Apr 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ivan G Hileman

Title

Executive Director

Phone

(717) 848-5767

Specialties & licenses 1

Addresses

Other names 1

• Bell Socialization Services,Inc. Doing business as

Tax ID family

Bell Club Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Bell Club, Inc.

  dba Bell Socialization Services,Inc.

  • Community/Behavioral Health Agency
  • York, PA
  • NPI 1427171271
  NPD tax ID

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386867513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SOUTH GEORGE STREET",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011408",
            "telephone_number": "717-848-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CEDAR STREET",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "17356",
            "telephone_number": "717-244-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELL CLUB,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILEMAN",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "717-848-5767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "335540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bell Socialization Services,Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Anderson
• Amy Lynn Armstrong, PHARMD
• Sara Azam, M.D.
• Amanda Baginski
• Being One Home Care Services LLC
• Carrie Woodhull Brett
• Tanisha Angelique Brown, MINISTER
• Waylon Brown
• Rachael Leigh Bull, LMT
• Amy Chantel Bunn, LPC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Red Lion, PA
• Providers in Red Lion, PA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.