NPIMap

Organization Active NPI

George Junior Republic in Pennsyl Vania

  • Public Health or Welfare Agency
  • Grove City, PA
National Provider Identifier
1861123432
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
GEORGE JUNIOR REPUBLIC IN PENNSYL VANIA
Practice address
233 George Junior Rd
Grove City, PA 16127-4417
Phone
(724) 458-9330
Fax
(724) 458-0389
NPI assigned
Jun 23, 2022
Last updated
Feb 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Nathan M Gressel, MSW MBA
Title
Chief Executive Officer
Phone
(724) 458-9330

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Public Health or Welfare Agency 251K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

233 George Junior Rd
Grove City, PA 16127-4417

Mailing address

233 George Junior Rd
Grove City, PA 16127-4417
Phone (724) 458-9330

Other identifiers 1

IdentifierTypeStateIssuer
0014522190134MedicaidPA

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1861123432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 GEORGE JUNIOR RD",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274417",
            "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 RD",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274417",
            "telephone_number": "724-458-9330",
            "fax_number": "724-458-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE JUNIOR REPUBLIC IN PENNSYL VANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "GRESSEL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "724-458-9330",
        "authorized_official_credential": "MSW MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014522190134",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 27, 2023; 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.