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EBENSBURG CENTER
NPI 1154304483
Intermediate Care Facility, Intellectual Disabilities in Ebensburg, PA

Active since November 21, 2005CLIA 39D2185069 · Waiver
4051 ADMIRAL PEARY HWY, EBENSBURG, PA 15931(814) 472-0200(814) 472-0542 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2021, Dec 23, 2015, Sep 29, 2015 (3 updates tracked since 2015).

About Ebensburg Center NPPES

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

EBENSBURG CENTER (NPI 1154304483) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Ebensburg, Pennsylvania and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through May 28, 2028 and lists Kathy Light, Administrator, as its authorized official.

NPPES Registry Identity

NPI1154304483
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NamePENNSYLVANIA DEPARTMENT OF HUMAN SERVICES
Location Address4051 ADMIRAL PEARY HWYEbensburg, PA 15931-4332
Mailing AddressPo Box 600Ebensburg, PA 15931-0600 · (814) 472-7350 · Fax (814) 472-0542
Phone(814) 472-0200
Fax(814) 472-0542
Organization SubpartNo
Authorized OfficialKathy LightAdministrator · (717) 772-2518
Enumeration DateNovember 21, 2005
Last NPPES UpdateOctober 4, 20213 updates tracked since enumeration
NPPES CertifiedOctober 4, 2021
✔ NPI 1154304483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
4051 ADMIRAL PEARY HWY, Ebensburg, PA 15931
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Other Names 1

Doing Business AsEbensburg Center

Other Identifiers 1

Medicaid100308518PA

CLIA Laboratory Certificates CMS CLIA

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 39D2185069

Ebensburg Center · Ebensburg, PA
Active · expires May 28, 2028
CLIA Number39D2185069
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 29, 2026
Certificate Expiration DateMay 28, 2028
Laboratory DirectorDr. Susan E. Lighbourn
Laboratory Phone(814) 823-7342
Laboratory LocationEbensburg Center4501 Admiral Peary Highway, Ebensburg, PA 15931
CLIA data matches this NPI record on: 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 Pennsylvania Department Of Human Services's NPI number?

The NPI number for Pennsylvania Department Of Human Services is 1154304483. It was assigned to this organization in the NPPES registry on November 21, 2005. The provider is doing business as Ebensburg Center.

Where is Pennsylvania Department Of Human Services located?

Pennsylvania Department Of Human Services is located at 4051 Admiral Peary Hwy, Ebensburg, PA 15931. The listed phone number is (814) 472-0200.

What is Pennsylvania Department Of Human Services's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Pennsylvania Department Of Human Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2185069) is associated with this NPI, valid through May 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pennsylvania Department Of Human Services was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.