Organization Active NPI

Snug Harbor Rehabilitation and Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Erie, PA
National Provider Identifier
1689230674
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SNUG HARBOR REHABILITATION AND RECOVERY LLC
Practice address
4638 E Lake Rd
Erie, PA 16511-1410
Phone
(814) 616-8030
Fax
(814) 920-9233
NPI assigned
May 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Authorized official

Name
Ms. Deborah Messina
Title
Executive Director
Phone
(814) 616-8030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4638 E Lake Rd
Erie, PA 16511-1410

Mailing address

4635 E Lake Rd
Erie, PA 16511-1410
Phone (814) 616-8030

Other identifiers 1

IdentifierTypeStateIssuer
257088OtherPAPA DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1689230674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 E LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165111410",
            "telephone_number": "814-616-8030",
            "fax_number": "814-920-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4638 E LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165111410",
            "telephone_number": "814-616-8030",
            "fax_number": "814-920-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNUG HARBOR REHABILITATION AND RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "MESSINA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-616-8030",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS",
            "identifier": "257088",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.