FOUNDATION HEALTHCARE LLC NPI 1407141930

NPI Information

  • NPI: 1407141930
  • Provider Name: FOUNDATION HEALTHCARE LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Former Legal Business Name: CEDAR RESIDENCE LLC
  • Address: 929 CEDAR AVE
    SCRANTON, PA
    ZIP 18505
  • Phone: (570) 955-3260

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NPI Details

FOUNDATION HEALTHCARE LLC is a substance abuse rehabilitation facility in Scranton, PA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. FOUNDATION HEALTHCARE LLC NPI is 1407141930. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Cedar Residence Llc.

The provider's business location address is:

929 CEDAR AVE
SCRANTON, PA
ZIP 18505-723
Phone: (570) 955-3260
Fax: (570) 504-7278

The provider's authorized official is Ronald A. Halko .
The authorized official title is Owner and has the following contact phone number (215) 718-9702.

The enumeration date for this NPI number is 6/13/2011 and was last updated on 9/9/2015.

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
1324500000XSubstance Abuse Rehabilitation Facility357038PENNSYLVANIANo
2324500000XSubstance Abuse Rehabilitation FacilityPENNSYLVANIAYes

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: 11/21/2025

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