Colonial House, Inc
LBN: Colonial House, Inc
Colonial House, Inc is an health care organization with primary practice located at 1300 Woodberry Road , York PA 17408-5840. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Colonial House, Inc can be contacted via phone (717) 792-1366, or through Gonzalez, Aurora via phone (717) 792-1366.
Contact Information
Primary practice address
1300 Woodberry Road
York PA 17408-5840
Phone: (717) 792-1366
Fax: (717) 792-9910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 677065 | Pennsylvania |
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | 671099 | Pennsylvania |
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
| NPI number | 1174686026 |
|---|---|
| LBN Legal business name | Colonial House, Inc |
| DBA Doing business as | |
| Authorized official | Gonzalez, Aurora MS, LPC, CAADC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Dec 9th, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174686026 | NPPES |
| Pennsylvania | MEDICAID | 00016277720001 |
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