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St. Joseph's Center

NPI 1316075419ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Scranton, PA

Intermediate Care Facility, Intellectual Disabilities in Scranton, Pennsylvania, registered in NPPES in March 2007. The authorized official on file is Robert Gordon, Vice President Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1316075419
StatusActive
Entity typeOrganization
NPI issuedMar 1, 2007
Last updated in NPPESJun 16, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Intermediate Care Facility, Intellectual Disabilities Primary315P00000X—PA
Physical Therapist225100000X—PA
Recreation Therapist225800000X—PA
Music Therapist225A00000X—PA
Occupational Therapist225X00000X—PA
Speech-Language Pathologist235Z00000X—PA
Day Training, Developmentally Disabled Services251C00000X——
Home Health251E00000X—PA
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities320900000X—PA
Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child385HR2060X—PA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (PA)

Medicare sources and data years

Other Intermediate Care Facility, Intellectual Disabilities providers in Scranton

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