Organization Active NPI

Clear Vision Residential Drug & Alcohol Facility

  • Mental Illness Community Based Residential Treatment Facility
  • Montgomery, PA
National Provider Identifier
1477224285
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
CLEAR VISION RESIDENTIAL DRUG & ALCOHOL FACILITY
Practice address
390 Saegers Station Rd
Montgomery, PA 17752-8509
Phone
(570) 547-2810
NPI assigned
Sep 22, 2021
Last updated
Sep 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Carol Magaro
Title
Coo
Phone
(570) 547-2810

Specialties & licenses 1

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

Addresses

Primary practice location

390 Saegers Station Rd
Montgomery, PA 17752-8509

Mailing address

456 Saegers Station Rd
Montgomery, PA 17752-9600
Phone (570) 547-2810

National Provider Directory

National Provider Directory

Locations

456 Saegers Station Rd
Montgomery, PA 17752

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1477224285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 SAEGERS STATION RD",
            "city": "MONTGOMERY",
            "state": "PA",
            "postal_code": "177529600",
            "telephone_number": "570-547-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 SAEGERS STATION RD",
            "city": "MONTGOMERY",
            "state": "PA",
            "postal_code": "177528509",
            "telephone_number": "570-547-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VISION RESIDENTIAL DRUG & ALCOHOL FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "MAGARO",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "570-547-2810"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.