Southwood Psychiatric Hospital, Llc in Prosperity - Psychiatric Residential Treatment Facility
Southwood Psychiatric Hospital, Llc - NPI 1942385836
Southwood Psychiatric Hospital, Llc is a Psychiatric Residential Treatment Facility in Prosperity, Pennsylvania. Southwood Psychiatric Hospital, Llc practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Southwood Psychiatric Hospital, Llc is 1942385836. The last update date is 2023-08-22.
Southwood Psychiatric Hospital, Llc's current location address is 13 Lemon Hill Rd, Prosperity, Pennsylvania. You can contact this provider via phone number 7242227486 and fax number 7242226709. The mailing address for Southwood Psychiatric Hospital, Llc is 13 Lemon Hill Rd, Prosperity, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southwood Psychiatric Hospital, Llc |
|---|---|
| Address | 13 Lemon Hill Rd, Prosperity, Pennsylvania |
| Phone Number | 7242227486 |
| Fax Number | 7242226709 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Farley P Brian |
| Telephone Number | 6158616000 |
NPI Number Detail
| NPI Number | 1942385836 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2023-08-22 |
Provider Mailing Address Detail
| Address | 13 Lemon Hill Rd |
|---|---|
| City | Prosperity |
| State | Pennsylvania (PA) |
| Post Code | 153291425 |
| Phone Number | 7242227486 |
| Fax Number | 7242226709 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
| Licence No | 400910 |
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Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40679 | PA | VALUE PROVIDER # | |
| 1007787100023 | PA | CCBHO PROMISE HOUSE RTF | |
| 1007787100023 | PA | -- | |
| 26 | PA | BLUE CROSS RTF | |
| 040679A953333 | PA | VBH PROMISE HOUSE RTF | |
| 4290243 | PA | AETNA PROMISE HOUSE RTF |
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What is the unique provider identifier assigned to Southwood Psychiatric Hospital, Llc?
The Southwood Psychiatric Hospital, Llc has been issued the NPI (National Provider Identifier) 1942385836 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Southwood Psychiatric Hospital, Llc's physical address?
The Southwood Psychiatric Hospital, Llc is physically located at 13 Lemon Hill Rd, in the city of Prosperity, PA, with the postal code 153291425.
What is the Southwood Psychiatric Hospital, Llc's specialty and taxonomy code?
The Southwood Psychiatric Hospital, Llc's specialty is Psychiatric Residential Treatment Facility, and the corresponding taxonomy code is 323P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1942385836 to Southwood Psychiatric Hospital, Llc?
The Southwood Psychiatric Hospital, Llc received its 1942385836 assignment from the Centers for Medicare & Medicaid Services on 2006-10-26.
When was the Southwood Psychiatric Hospital, Llc's information last updated?
The Southwood Psychiatric Hospital, Llc's information was last updated on 2023-08-22.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA