Organization Active NPI

Laurelcare South/West LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Coraopolis, PA
National Provider Identifier
1649804170
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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

Updated by the provider on Sep 23, 2020

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1037574470001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Laurelcare Southwest LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

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.

Verify at the official NPI Registry.