NR Pennsylvania Associates LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

NR PENNSYLVANIA ASSOCIATES LLC

Practice address

1170 S State St
Ephrata, PA 17522-2601

Phone

(305) 542-0687

NPI assigned

Oct 4, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Alicia Santos Pierce

Title

Chief Administrative Officer

Phone

(561) 444-3512

Specialties & licenses 7

Addresses

Other names 2

• Retreat Behavioral Health Doing business as
• Retreat at Lancaster County Doing business as

Locations

Practitioners 1

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

• Stephanie Bynum, LPC

  • Professional Counselor
  • State College, PA
  • NPI 1336827450
  NPD (past)

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1861967994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 S STATE ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222601",
            "telephone_number": "305-542-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 S STATE ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222601",
            "telephone_number": "305-542-0687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 S 7th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "PA",
            "postal_code": "175011464",
            "country_code": "US",
            "telephone_number": "717-859-8000",
            "fax_number": "800-915-6119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2214 N Atherton St Fl 1",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168031544",
            "country_code": "US",
            "telephone_number": "855-859-8810",
            "fax_number": "717-674-7387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Walnut St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lansdale",
            "state": "PA",
            "postal_code": "194461140",
            "country_code": "US",
            "telephone_number": "855-859-8810",
            "fax_number": "717-674-7387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3624 Market St Ste 303S",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191042616",
            "country_code": "US",
            "telephone_number": "855-859-8810",
            "fax_number": "717-674-7387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NR PENNSYLVANIA ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "SANTOS PIERCE",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "561-444-3512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retreat Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Retreat at Lancaster County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northern Lancaster County Medical Group
• Northern Lancaster County Medical Group
• Northern Lancaster County Medical Group
• Northern Lancaster County Medical Group
• Kathryn Fenton Nowlan, MD
• Obinna Nwosu, M.D.
• Tanya O'Connor, DO
• Amanda Funk O'Malley, DPT
• James O'Shea
• Rachiel N Oakley, MD

• Substance Abuse Rehabilitation Facility in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Substance Abuse Rehabilitation Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.