NPIMap

Organization Active NPI

Martha Lloyd Intermediate Care Facility

  • Intellectual Disabilities Intermediate Care Facility
  • Troy, PA
National Provider Identifier
1821565029
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
MARTHA LLOYD INTERMEDIATE CARE FACILITY
Practice address
76 Coppertree LN
Troy, PA 16947
Phone
(570) 297-2185
NPI assigned
Oct 26, 2018
Last updated
Nov 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Authorized official

Name
Michele Deeghan
Title
Cfo
Phone
(570) 297-2185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

76 Coppertree LN
Troy, PA 16947

Mailing address

66 Lloyd LN
Troy, PA 16947-1502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821565029. Details of each certification follow.

  • CCN 39G434 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 39G434

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MARTHA LLOYD INTERMEDIATE CARE FACILITIE CREEKSIDE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Aug 2, 2018
Last certification
Apr 25, 2025
Beds
4
Ownership / control type
Private (non-profit)
Facility address
76 Coppertree Lane
Troy, PA 16947

National Provider Directory

National Provider Directory
Tax ID family
Martha Lloyd Intermediate Care Facility5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

76 Copper Tree Ln
Troy, PA 16947

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1821565029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 LLOYD LN",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169471502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 COPPERTREE LN",
            "city": "TROY",
            "state": "PA",
            "postal_code": "16947",
            "telephone_number": "570-297-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA LLOYD INTERMEDIATE CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "DEEGHAN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "570-297-2185"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, PA

Sources for this page

Verify at the official NPI Registry.