WESTMORELAND ARC PROSERV NPI 1265551857

NPI Information

NPI: 1265551857
Provider Name: WESTMORELAND ARC PROSERV
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization

CLIA Number: 39D2275203

Address:
117 PARK ST
DERRY, PA
ZIP 15627
Phone: (724) 837-8159
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WESTMORELAND ARC PROSERV is a community based residential treatment facility, intellectual and/or developmental disabilities in Derry, PA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. WESTMORELAND ARC PROSERV NPI is 1265551857. The provider is registered as an organization entity type.

The provider's business location address is:

117 PARK ST
DERRY, PA
ZIP 15627-915
Phone: (724) 837-8159
Fax: (724) 837-7453

The provider's authorized official is Erica Loughner .
The authorized official title is Sr. Dir. Of Fiscal Affairs and has the following contact phone number (724) 837-8159.

The CLIA number assigned to this NPI record is 39D2275203 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		427000	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1000003440009	OTHER	PENNSYLVANIA	HCSIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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