NPIMap

Organization Active NPI

George Junior Republic in Pennsylvania

  • Mental Illness Community Based Residential Treatment Facility
  • New Wilmington, PA
National Provider Identifier
1407971641
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA
Practice address
17 Leesburg Station Rd
New Wilmington, PA 16142-1901
Phone
(724) 946-8960
NPI assigned
Mar 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Richard L. Losasso, MSW
Title
Chief Executive Officer
Phone
(724) 458-9330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

17 Leesburg Station Rd
New Wilmington, PA 16142-1901

Mailing address

PO Box 1058
233 George Junior Road
Grove City, PA 16127-5058
Phone (724) 458-9330

Other identifiers 1

IdentifierTypeStateIssuer
0014522190045MedicaidPA

Other names 1

  • New Wilmington Other name

National Provider Directory

National Provider Directory
Tax ID family
George Junior Republic in Pennsylvania58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407971641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1058",
            "address_2": "233 GEORGE JUNIOR ROAD",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161275058",
            "telephone_number": "724-458-9330",
            "fax_number": "724-458-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LEESBURG STATION RD",
            "city": "NEW WILMINGTON",
            "state": "PA",
            "postal_code": "161421901",
            "telephone_number": "724-946-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOSASSO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "724-458-9330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014522190045",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Wilmington",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Wilmington, PA

Sources for this page

  • 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.