The Graniteville House of Recovery

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE GRANITEVILLE HOUSE OF RECOVERY

Practice address

5452 Main Rd
Sweet Valley, PA 18656-2482

Phone

(570) 417-5419

NPI assigned

Jul 17, 2017

Last updated

Jul 17, 2017By 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

Mrs. Janeen Samad

Title

Cfo

Phone

(570) 417-5419

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500249600000",
    "number": "1588186092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5452 MAIN RD",
            "city": "SWEET VALLEY",
            "state": "PA",
            "postal_code": "186562482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5452 MAIN RD",
            "city": "SWEET VALLEY",
            "state": "PA",
            "postal_code": "186562482",
            "telephone_number": "570-417-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GRANITEVILLE HOUSE OF RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-07-17",
        "status": "A",
        "authorized_official_last_name": "SAMAD",
        "authorized_official_first_name": "JANEEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "570-417-5419",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": "407066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Adam Kliamovich II, D.C.
• Meghan Elizabeth Maccarone, OTR/L
• Jennifer Rebekah Purdy
• Anthony Sayre Jr., CAPS
• Sweet Valley Ambulance Association, Inc
• Shaun Brian Trumbower, PTA

• Community/Behavioral Health Agency in Sweet Valley, PA
• Providers in Sweet Valley, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; 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.