ST. JOSEPH INSTITUTE, LLC
NPI 1063732717
Substance Abuse Rehabilitation Facility in Port Matilda, PA

Active since June 04, 2010CLIA Certified · 2 labs
134 JACOBS WAY, PORT MATILDA, PA 16870(814) 692-4954(814) 692-4485 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 18, 2026, Jun 25, 2024 (2 updates tracked since 2024).

About St. Joseph Institute, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. JOSEPH INSTITUTE, LLC (NPI 1063732717), doing business as St. Joseph Institute, is a healthcare organization registered as a substance abuse rehabilitation facility in Port Matilda, Pennsylvania and active in the NPI registry since June 2010. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Wexford, and lists James Stephen Hinkle, General Counsel & Secretary, as its authorized official.

NPPES Registry Identity

NPI1063732717
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameST. JOSEPH INSTITUTE, LLC
Location Address134 JACOBS WAYPort Matilda, PA 16870
Mailing Address134 Jacobs WayPort Matilda, PA 16870-9240 · (814) 692-4954 · Fax (814) 692-4485
Fax(814) 692-4485
Organization SubpartNo
Authorized OfficialJames Stephen HinkleGeneral Counsel & Secretary · (615) 637-7218
Enumeration DateJune 4, 2010
Last NPPES UpdateJune 19, 20262 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
NPI 1063732717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License Licensed in PA · 147034
Definition

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.

134 JACOBS WAY, Port Matilda, PA 16870

Other Names 1

Doing Business AsSt. Joseph Institute

Secondary Practice Location 1

Location 111269 Perry Hwy Ste 430Wexford, PA 15090-9388 · Phone (888) 352-3297

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2091185

St Joseph Institute · Port Matilda, PA
Active · expires Feb 8, 2027
CLIA Number39D2091185
Laboratory TypeRes Addiction Treatment
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Brandon M. Roscoe
Laboratory Phone(814) 692-4954
Laboratory LocationSt Joseph Institute134 Jacobs Way, Port Matilda, PA 16870
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2311385

St Joseph Institute, LLC · Wexford, PA
Active · expires Sep 19, 2026
CLIA Number39D2311385
Laboratory TypeOutpatient Sud Clinic Iop
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorDr. Brandon M. Roscoe
Laboratory Phone(412) 961-9560
Laboratory LocationSt Joseph Institute, LLC11269 Perry Highway, Suite 430, Wexford, PA 15090
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Joseph Institute, LLC's NPI number?

The NPI number for St. Joseph Institute, LLC is 1063732717. It was assigned to this organization in the NPPES registry on June 4, 2010. The provider is doing business as St. Joseph Institute.

Where is St. Joseph Institute, LLC located?

St. Joseph Institute, LLC is located at 134 Jacobs Way, Port Matilda, PA 16870. The listed phone number is (814) 692-4954.

What is St. Joseph Institute, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does St. Joseph Institute, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for St. Joseph Institute, LLC was last updated on June 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.