Active NPI
Laurelcare South/West LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Coraopolis, PA
National Provider Identifier
1649804170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- LAURELCARE SOUTH/WEST LLC
- Practice address
- 8 Hattman Dr FL 2
Coraopolis, PA 15108-3728 - Phone
- (412) 458-6565
- Fax
- (412) 458-0384
- NPI assigned
- Feb 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karyn George
- Title
- Chief Operating Officer
- Phone
- (412) 458-6565
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
8 Hattman Dr FL 2
Coraopolis, PA 15108-3728
Mailing address
8 Hattman Dr FL 2
Coraopolis, PA 15108-3728
Phone (412) 458-6565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1037574470001 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Laurelcare Southwest LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Jefferson Hills, PA
- NPI 1740896851
Locations
8 Hattman Dr
Fl 2
Coraopolis, PA 15108
Phone 4124586565 ext. 311
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Cranberry TWP, PA
- NPI 1518715515
-
- Professional Counselor
- Pleasant Hills, PA
- NPI 1962818765
-
- Anesthesiology Physician
- Monroeville, PA
- NPI 1326231564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600819200000",
"number": "1649804170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 HATTMAN DR FL 2",
"city": "CORAOPOLIS",
"state": "PA",
"postal_code": "151083728",
"telephone_number": "412-458-6565",
"fax_number": "412-458-0384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 HATTMAN DR FL 2",
"city": "CORAOPOLIS",
"state": "PA",
"postal_code": "151083728",
"telephone_number": "412-458-6565",
"fax_number": "412-458-0384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURELCARE SOUTH/WEST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-24",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A",
"authorized_official_last_name": "GEORGE",
"authorized_official_first_name": "KARYN",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "412-458-6565"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1037574470001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coraopolis, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.