Pennsylvania Department of Human Services
NPI 1851374698ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Polk, PA
Intermediate Care Facility, Intellectual Disabilities in Polk, Pennsylvania, registered in NPPES in November 2005. The authorized official on file is Kathy Light, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1851374698 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 25, 2005 |
| Last updated in NPPES | Oct 4, 2021 |
| Certified by provider | Oct 4, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PA) |
|---|