Foster Hill Wellness LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

FOSTER HILL WELLNESS LLC

Doing business as

Malibu Wellness Ranch

Practice address

351 Foster Hill Rd
Milford, PA 18337-6580

Phone

(570) 212-0428

NPI assigned

Apr 24, 2019

Last updated

Sep 9, 2025By 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

Michelle Lynn Benward

Title

Director of Care Management

Phone

(570) 296-7281

Specialties & licenses 4

Addresses

Other names 1

• Malibu Wellness Ranch Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig T Haytmanek, M.D.

  • General Practice Physician
  • Fountain Hill, PA
  • NPI 1053358887
  NPD (past)
• Danielle Laurie Westgate, CRNP, MS, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Scranton, PA
  • NPI 1780983916
  NPD (past)

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1437713591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 FOSTER HILL RD",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183376580",
            "telephone_number": "570-212-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 FOSTER HILL RD",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183376580",
            "telephone_number": "570-212-0428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Saint Vincent Dr",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "PA",
            "postal_code": "183379672",
            "country_code": "US",
            "telephone_number": "570-212-0428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "934 Milford Rd",
            "address_purpose": "LOCATION",
            "city": "Dingmans Ferry",
            "state": "PA",
            "postal_code": "183283520",
            "country_code": "US",
            "telephone_number": "800-862-5428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOSTER HILL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "BENWARD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR OF CARE MANAGEMENT",
        "authorized_official_telephone_number": "570-296-7281"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Malibu Wellness Ranch",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Malibu Wellness Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Ramos Fedorka
• Jillian Feese
• Christopher J Ferlo, PT
• Robert Young Fizette
• Maryanne Ford, LPN,RYT,CPI
• Amber R Fox, CCC-SLP
• Frances Hlavacek, LCSW
• Katie Frank
• Trina Laurie Fuller
• Alejandro Garcia-Osuna Polanco, L.AC.

• Substance Abuse Rehabilitation Facility in Milford, PA
• Providers in Milford, 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, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.