Faithful Transition

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

FAITHFUL TRANSITION

Practice address

423 Spencer Ave
Sharon, PA 16146-3124

Phone

(724) 866-7625

NPI assigned

May 15, 2023

Organization subpart

No

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

Authorized official

Name

Salle RudolphNPI 1114617990

Title

Ceo

Phone

(724) 866-7625

Specialties & licenses 3

Addresses

Other names 1

• Faithful Transition Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Salle Rudolph

  • Day Training/Habilitation Specialist
  • Sharon, PA
  • NPI 1114617990
  NPD Authorized official

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1831889617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 HARLEY WAY",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461116",
            "telephone_number": "724-866-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 SPENCER AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161463124",
            "telephone_number": "724-866-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHFUL TRANSITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "RUDOLPH",
        "authorized_official_first_name": "SALLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-866-7625"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faithful Transition",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Faithful Transition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Sharon, PA
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.