RESURRECTION HOUSE LLC
NPI 1235970443
Clinic/Center - Rehabilitation, Substance Use Disorder in Great Bend, PA

Q: What is Resurrection House LLC's NPI number?

The NPI number for Resurrection House LLC is 1235970443. It was assigned to this organization in the NPPES registry on June 3, 2024. The provider is doing business as Resurrection House.

Q: What is Resurrection House LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since June 03, 2024CLIA 39D2312775 · Waiver

204 MAIN ST, GREAT BEND, PA 18821(570) 679-2459(570) 413-0423 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 16, 2024, Jun 3, 2024 (2 updates tracked since 2024).

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About Resurrection House Llc NPPES

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

RESURRECTION HOUSE LLC (NPI 1235970443), doing business as Resurrection House, is a healthcare organization registered as a rehabilitation, substance use disorder in Great Bend, Pennsylvania and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through October 17, 2026 and lists Catherine Marie Briegel, Finance Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1235970443

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameRESURRECTION HOUSE LLC

Location Address204 MAIN STGreat Bend, PA 18821-9563

Mailing Address204 Main StGreat Bend, PA 18821-9563 · (570) 679-2459 · Fax (570) 413-0423

Phone(570) 679-2459

Fax(570) 413-0423

Organization SubpartNo

Authorized OfficialCatherine Marie BriegelFinance Billing Specialist · (570) 679-2459

Enumeration DateJune 3, 2024

Last NPPES UpdateSeptember 16, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2024

✔ NPI 1235970443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

204 MAIN ST, Great Bend, PA 18821

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Other Names 1

Doing Business AsResurrection House

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 39D2312775

Resurrection House · Great Bend, PA

Active · expires Oct 17, 2026

CLIA Number39D2312775

Laboratory TypeDrug & Alcohol Tx Fac

Certificate Effective DateOctober 18, 2024

Certificate Expiration DateOctober 17, 2026

Laboratory DirectorDr. Matthew C. Haley

Laboratory Phone(570) 879-3009

Laboratory LocationResurrection House204 Main Street, Great Bend, PA 18821

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 Resurrection House LLC's NPI number?

The NPI number for Resurrection House LLC is 1235970443. It was assigned to this organization in the NPPES registry on June 3, 2024. The provider is doing business as Resurrection House.

Where is Resurrection House LLC located?

Resurrection House LLC is located at 204 Main St, Great Bend, PA 18821. The listed phone number is (570) 679-2459.

What is Resurrection House LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Resurrection House LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2312775) is associated with this NPI, valid through October 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Resurrection House LLC was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.