Martha Lloyd School, Inc

Primary specialty

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

Legal business name

MARTHA LLOYD SCHOOL, INC

Practice address

190 W Main St
Troy, PA 16947-1131

Phone

(570) 297-2185

NPI assigned

Feb 19, 2009

Last updated

Feb 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michele Deeghan

Title

Controller

Phone

(570) 297-2185

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kari S. Wood, MD

  • Family Medicine Physician
  • Troy, PA
  • NPI 1093843906
  Medicare reassignment NPD

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1841439593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W MAIN ST",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169471131",
            "telephone_number": "570-297-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W MAIN ST",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169471131",
            "telephone_number": "570-297-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA LLOYD SCHOOL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "DEEGHAN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "570-297-2185"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101554481",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR VANCE GOOD, MD",
            "identifier": "1710946686",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000699330",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KARI WOOD",
            "identifier": "1093843906",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS. LORI LEE PERRY CRNP",
            "identifier": "1316910318",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANCARE PC",
            "identifier": "1750361945",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Lloyd CRF Sylvania House
• Martha Lloyd CRF Trees House
• Martha Lloyd CRF Wilson House
• Martha Lloyd Intermediate Care Facility
• Martha Lloyd Intermediate Care Facility
• Ashley R Matthews, COTA/L
• Tori Nicole Mattocks, COTA
• Melissa Sue McConnell, CRNP
• Jessica McWhorter, FNP-BC
• Chetan Merchant, M.D

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Troy, PA
• Providers in Troy, PA by specialty
• 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 Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.