Saegertown Recovery Clinic, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SAEGERTOWN RECOVERY CLINIC, LLC

Practice address

707 Erie St
Saegertown, PA 16433-5003

Phone

(814) 763-2010

Fax

(814) 763-5535

NPI assigned

May 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jill C Miller, DO

Title

Owner

Phone

(814) 763-2010

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1932846367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 ERIE ST",
            "city": "SAEGERTOWN",
            "state": "PA",
            "postal_code": "164335003",
            "telephone_number": "814-763-2010",
            "fax_number": "814-763-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 ERIE ST",
            "city": "SAEGERTOWN",
            "state": "PA",
            "postal_code": "164335003",
            "telephone_number": "814-763-2010",
            "fax_number": "814-763-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAEGERTOWN RECOVERY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-763-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill C Miller, DO
• Vincent Brian Myers, RN
• Penncrest School District
• Jessica Roach, MS, OTR/L
• Saegertown Pharmacy
• Sands Speech Therapy
• Schlosser Physical Therapy, LLC
• Seasons Counseling Services, LLC
• Shadow Chasers, LLC
• Audrey Sue Smith, MA

• Substance Use Disorder Rehabilitation Clinic/Center in Saegertown, PA
• Providers in Saegertown, PA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.