ABRAXAS III – NPI #1790828978
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

ABRAXAS III is a substance abuse rehabilitation facility located in PITTSBURGH, PA. NPPES has assigned the NPI number 1790828978 to ABRAXAS III on February 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ABRAXAS III” is a dba name, the actual legal business name for this organization is CORNELL ABRAXAS GROUP INC. The primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 ABRAXAS III below.

NPI Profile for
CORNELL ABRAXAS GROUP INC

NPI Number
1790828978
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
CORNELL ABRAXAS GROUP INC
Doing Business As (dba): ABRAXAS III
Primary location
437 TURRETT ST
PITTSBURGH, PA 15206-3370
Phone: (412) 361-0904 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN SADLER
SR BUSINESS MANAGER
Phone: (814) 459-0618
Updated
Identifiers

Identifiers for ABRAXAS III

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
OTHERDDAPL LICENSEPA458290
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
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary)		 PA 458290

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.