GEORGE JUNIOR REPUBLIC IN PENNSYLVANAI – NPI #1851416655
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

GEORGE JUNIOR REPUBLIC IN PENNSYLVANAI is a community based residential treatment facility located in GROVE CITY, PA. NPPES has assigned the NPI number 1851416655 to GEORGE JUNIOR REPUBLIC IN PENNSYLVANAI on March 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. GEORGE JUNIOR REPUBLIC IN PENNSYLVANAI is also known by the name SPECIAL NEEDS 9. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 3 years ago on Feb 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GEORGE JUNIOR REPUBLIC IN PENNSYLVANAI below.

NPI Profile for
GEORGE JUNIOR REPUBLIC IN PENNSYLVANAI

NPI Number
1851416655
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GEORGE JUNIOR REPUBLIC IN PENNSYLVANAI
Other Name: SPECIAL NEEDS 9
Primary location
233 GEORGE JUNIOR ROAD
GROVE CITY, PA 16127
Phone: (724) 458-9330 Fax:
Mailing address
PO BOX 1058
233 GEORGE JUNIOR ROAD
GROVE CITY, PA 16127-5058
Phone: (724) 458-9330 Fax: (724) 458-0389
Organization Subpart
No
Authorized Official
NATHAN GRESSEL
CHIEF EXECUTIVE OFFICER
Phone: (724) 458-9330
Updated
Certification Date
Feb 27, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GEORGE JUNIOR REPUBLIC IN PENNSYLVANAI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidPA0014522190120
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.