Foundation Healthcare LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

FOUNDATION HEALTHCARE LLC

Practice address

929 Cedar Ave
Scranton, PA 18505-1723

Phone

(570) 955-3260

Fax

(570) 504-7278

NPI assigned

Jun 13, 2011

Last updated

Sep 9, 2015By 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. Ronald A. Halko, OWNER

Title

Owner

Phone

(215) 718-9702

Specialties & licenses 2

Addresses

Other names 1

• Cedar Residence LLC Former legal business name

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1407141930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S. BLAKELY ST. #176",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "18512",
            "telephone_number": "570-955-3260",
            "fax_number": "570-504-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 CEDAR AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185051723",
            "telephone_number": "570-955-3260",
            "fax_number": "570-504-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "HALKO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-718-9702",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": "357038",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Residence LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kevin T Fogarty, M.D.
• Stephanie Folmar, LMT
• Lindsey Ford
• Mark Ford
• Erin Fossett
• Bridget Colleen Fox, CRNP
• Catherine Fox
• Michael J Fox, PHARMD
• Owen Nicholas Foytack, PA-C
• Gerald Fragin, O.D.

• Substance Abuse Rehabilitation Facility in Scranton, PA
• Providers in Scranton, PA by specialty
• Substance Abuse Rehabilitation Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.