Laurelcare South/West LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LAURELCARE SOUTH/WEST LLC

Practice address

1200 Brooks LN Ste 210
Jefferson Hills, PA 15025-3761

Phone

(412) 458-6565

NPI assigned

Sep 23, 2020

Last updated

Sep 23, 2020By 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

Karyn George

Title

Chief Operating Officer

Phone

(412) 458-6565

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Laurelcare South/West LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Coraopolis, PA
  • NPI 1649804170
  NPD tax ID

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1740896851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BROOKS LN STE 210",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253761",
            "telephone_number": "412-458-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROOKS LN STE 210",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253761",
            "telephone_number": "412-458-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURELCARE SOUTH/WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "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": []
}

• Richard Alan Laing, D.M.D.
• Paul David Laman Jr., MD
• Emily Lamark, PA-C
• Inna V Lamm, M.D.
• Denise L Lasko, CRNA
• Phyllis Terese Law, CRNP
• Lawson Nursing Home, Inc.
• Jennifer Elizabeth Leap, D.O.
• Chelsea Lanae Ledgerwood
• Caroline Emma Lee, BSN, RN

• Substance Use Disorder Rehabilitation Clinic/Center in Jefferson Hills, PA
• Providers in Jefferson Hills, PA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Pennsylvania

• 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.