NPIMap

Organization Active NPI

George Junior Republic in Pennsylvania

  • Community/Behavioral Health Agency
  • Grove City, PA
National Provider Identifier
1831214634
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA
Practice address
233 George Junior Road
Grove City, PA 16127
Phone
(724) 458-9330
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Authorized official

Name
Mr. Richard L. Losasso, MSW
Title
Chief Executive Officer
Phone
(724) 458-9330

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

233 George Junior Road
Grove City, PA 16127

Mailing address

PO Box 1058
233 George Junior Road
Grove City, PA 16127-5058
Phone (724) 458-9330

Other identifiers 2

IdentifierTypeStateIssuer
0014522190048MedicaidPA
0014522190118MedicaidPA

Other names 1

  • W Cottage Other name

National Provider Directory

National Provider Directory
Tax ID family
George Junior Republic in Pennsylvania58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1831214634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1058",
            "address_2": "233 GEORGE JUNIOR ROAD",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161275058",
            "telephone_number": "724-458-9330",
            "fax_number": "724-458-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 GEORGE JUNIOR ROAD",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "16127",
            "telephone_number": "724-458-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE JUNIOR REPUBLIC IN PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "LOSASSO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "724-458-9330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014522190048",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014522190118",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "W Cottage",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grove City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.