Minsec Treatment LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

807410 Issued in PA

Legal business name

MINSEC TREATMENT LLC

Practice address

1625 Washington Ave
Philadelphia, PA 19146-2045

Phone

(215) 732-1890

Fax

(215) 732-2063

NPI assigned

Oct 30, 2009

Organization subpart

No

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

Authorized official

Name

Debra A Miller

Title

Billing Manager

Phone

(215) 744-9601

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• MinSec Treatment-South Other name

Tax ID family

Luzerne Treatment Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Luzerne Treatment Center

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1316161706
  NPD tax ID
• Minsec Companies, LLC

  • Substance Abuse Rehabilitation Facility
  • Hazleton, PA
  • NPI 1942506514
  NPD tax ID

Locations

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1760718472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 WASHINGTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462045",
            "telephone_number": "215-732-1890",
            "fax_number": "215-732-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 WASHINGTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462045",
            "telephone_number": "215-732-1890",
            "fax_number": "215-732-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINSEC TREATMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "215-744-9601"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "PA",
            "license": "807410",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "807410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BH OF PA",
            "identifier": "774372000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BEHAVIORAL HEALTH",
            "identifier": "88868",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01824913",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHSI OF PHILADELPHIA",
            "identifier": "D0048",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MinSec Treatment-South",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shanita Minor, RN
• Jillian R Minott, NURSE PRACTITIONER
• Minova Home Care Agency LLC
• Barby Minoza
• Minsec Treatment Center
• Chelsea Alexandra Minsky, LPC
• Mint Condition Extensions Company
• Mark Douglas Mintline, DDS
• Natalie Minto, M.D.
• Jane E Minturn, M.D.

• Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.