NPIMap

Organization Active NPI

Merakey Pennsylvania

  • Mental Illness Community Based Residential Treatment Facility
  • Saint Thomas, PA
National Provider Identifier
1902029754
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MERAKEY PENNSYLVANIA
Practice address
5126 Jack Rd
Saint Thomas, PA 17252-9682
Phone
(215) 836-3131
Fax
(215) 273-5975
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mr. Norman E Tilson Jr.
Title
Corp Sr. Director of Business Ops
Phone
(215) 836-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

5126 Jack Rd
Saint Thomas, PA 17252-9682

Mailing address

4391 Sturbridge Dr
Harrisburg, PA 17110-3673
Phone (215) 836-3131

Other identifiers 1

IdentifierTypeStateIssuer
1000017440189MedicaidPA

Other names 2

  • NHS Pennsylvania Former legal business name
  • Northwestern Human Services of Pennsylvania Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Merakey Pennsylvania78 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

Locations

5126 Jack Rd
Saint Thomas, PA 17252

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1902029754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4391 STURBRIDGE DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103673",
            "telephone_number": "215-836-3131",
            "fax_number": "215-273-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 JACK RD",
            "city": "SAINT THOMAS",
            "state": "PA",
            "postal_code": "172529682",
            "telephone_number": "215-836-3131",
            "fax_number": "215-273-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERAKEY PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "TILSON",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CORP SR. DIRECTOR OF BUSINESS OPS",
        "authorized_official_telephone_number": "215-836-3131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000017440189",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NHS Pennsylvania",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "NHS Pennsylvania",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Northwestern Human Services of Pennsylvania",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Saint Thomas, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.