NPIMap

Organization Active NPI

Lung & Wellness Centers of Western Pennsylvania Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Natrona Heights, PA
National Provider Identifier
1437420841
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
LUNG & WELLNESS CENTERS OF WESTERN PENNSYLVANIA INC
Practice address
1830 Union Ave Ste a
Natrona Heights, PA 15065-2201
Phone
(724) 904-7794
Fax
(724) 904-7776
NPI assigned
Jan 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Authorized official

Name
Kelli Thompson, RRT
Title
President
Phone
(724) 504-9305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

1830 Union Ave Ste a
Natrona Heights, PA 15065-2201

Mailing address

200 Renaissance Dr Ste 103
Butler, PA 16001-7612
Phone (724) 256-9606

Other identifiers 1

IdentifierTypeStateIssuer
1028747070002MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140220000989 PA Part A Provider - Comprehensive Outpatient Rehabilitation Facility 4587815428 Practice locations: Natrona Heights, PA

Comprehensive outpatient rehabilitation facility certification: CCN 394570

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LUNG & WELLNESS CENTERS OF WESTERN PENNSYLVANIA, I
Certification status
Active
Provider type (POS)
Comprehensive outpatient rehabilitation facility
Participating since
May 15, 2014
Last certification
Jul 29, 2020
Ownership / control type
Proprietary
Facility address
1830 Union Ave Suite a
Natrona Heights, PA 15065

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Lung Wellness Centers of W PA Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1701 3rd St
Ste 4
Beaver, PA 15009
Phone (878) 207-2192

200 Renaissance Dr
Ste 103
Butler, PA 16001
Phone (724) 256-9606

1830 Union Ave
Ste A
Natrona Heights, PA 15065
Phone (724) 282-2216

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1437420841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RENAISSANCE DR STE 103",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160017612",
            "telephone_number": "724-256-9606",
            "fax_number": "724-256-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 UNION AVE STE A",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652201",
            "telephone_number": "724-904-7794",
            "fax_number": "724-904-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNG & WELLNESS CENTERS OF WESTERN PENNSYLVANIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-504-9305",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028747070002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natrona Heights, PA

Sources for this page

Verify at the official NPI Registry.