NPIMap

Organization Active NPI

Martha Lloyd CRF 3Rd Street

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Mansfield, PA
National Provider Identifier
1861656340
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
MARTHA LLOYD CRF 3RD STREET
Practice address
60 3Rd St
Mansfield, PA 16933-1221
Phone
(570) 297-2185
Fax
(570) 297-2185
NPI assigned
Jul 15, 2008
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
William Miller
Title
Director
Phone
(570) 297-2185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

60 3Rd St
Mansfield, PA 16933-1221

Mailing address

190 W Main St
Troy, PA 16947-1131
Phone (570) 297-2185

Other identifiers 1

IdentifierTypeStateIssuer
1015544810034MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Martha Lloyd Community Residential Facility35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1861656340",
    "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",
            "fax_number": "570-297-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 3RD ST",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331221",
            "telephone_number": "570-297-2185",
            "fax_number": "570-297-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA LLOYD CRF 3RD STREET",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "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": "1015544810034",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.