Organization Active NPI

Davis Archway Centers for Addiction Treatment, Inc.

Doing business as The Davis Archway House

  • Substance Abuse Rehabilitation Facility
  • Butler, PA
National Provider Identifier
1750617668
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
DAVIS ARCHWAY CENTERS FOR ADDICTION TREATMENT, INC.
Doing business as
The Davis Archway House
Practice address
164 Schiebel Rd
Butler, PA 16002-9324
Phone
(724) 992-9633
NPI assigned
Oct 28, 2009
Last updated
Jun 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Mr. Chet Leech
Title
Ceo
Phone
(724) 841-0744

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

164 Schiebel Rd
Butler, PA 16002-9324

Mailing address

164 Schiebel Rd
Butler, PA 16002-9324
Phone (724) 992-9633

Other identifiers 2

IdentifierTypeStateIssuer
107036OtherPADEPARTMENT OF DRUG AND ALCOHOL PROGRAMS
1024600580001MedicaidPA

Other names 1

  • The Davis Archway House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Davis Archway Centers for Addiction Treatment Inc2 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

164 Schiebel Rd
Butler, PA 16002
Phone (724) 992-9633

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1750617668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 SCHIEBEL RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160029324",
            "telephone_number": "724-992-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 SCHIEBEL RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160029324",
            "telephone_number": "724-992-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS ARCHWAY CENTERS FOR ADDICTION TREATMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "LEECH",
        "authorized_official_first_name": "CHET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-841-0744",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS",
            "identifier": "107036",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024600580001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Davis Archway House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.