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ST. JOSEPH'S CENTER
NPI 1316075419
Intermediate Care Facility, Intellectual Disabilities in Scranton, PA

Active since March 01, 2007CLIA 39D2269271 · Waiver
2010 ADAMS AVE, SCRANTON, PA 18509(570) 342-8379(570) 963-1286 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St. Joseph's Center NPPES

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

ST. JOSEPH'S CENTER (NPI 1316075419) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Scranton, Pennsylvania and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through September 22, 2026 and lists Robert Gordon, Vice President Cfo, as its authorized official.

NPPES Registry Identity

NPI1316075419
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameST. JOSEPH'S CENTER
Location Address2010 ADAMS AVEScranton, PA 18509-1508
Mailing Address2010 Adams AveScranton, PA 18509-1508 · (570) 342-8379 · Fax (570) 963-1286
Phone(570) 342-8379
Fax(570) 963-1286
Organization SubpartNo
Authorized OfficialRobert GordonVice President Cfo · (570) 963-1273
Enumeration DateMarch 1, 2007
Last NPPES UpdateJune 16, 2008
✔ NPI 1316075419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedRecreation TherapistTaxonomy 225800000X
Also ListedMusic TherapistTaxonomy 225A00000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X
Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X
2010 ADAMS AVE, Scranton, PA 18509
Open in Google Maps ↗

Other Identifiers 21

Medicaid1000013880049PA
Medicaid1000013880061PA
Medicaid1000013880040PA
Medicaid1000013880046PA
Medicaid1000013880047PA
Medicaid1000013880048PA
Other1576770STPA · Highmark Blue Shield
Medicaid1000013880063PA
Medicare ID-Type Unspecified396772PA · Therapy Clinic
Medicaid1000013880050PA
Medicaid1000013880056PA
Medicaid1000013880058PA
Medicaid1000013880054PA
Other1576764PTPA · Highmark Blue Shield
Medicaid1000013880055PA
Medicaid1000013880059PA
Medicaid1000013880031PA
Medicaid1000013880057PA
Medicaid1000013880034PA
Medicaid1000013880038PA
Medicaid1000013880001PA

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 39D2269271

St Josephs Center · Dunmore, PA
Active · expires Sep 22, 2026
CLIA Number39D2269271
Laboratory TypeAdult Day Program (idd)
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorDr. Peter A. Cognetti
Laboratory Phone(570) 342-8379
Laboratory LocationSt Josephs Center320 S Blakely Street, Dunmore, PA 18512
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANK W CAREY
Music Therapist
2010 ADAMS AVE
SCRANTON, PA 18509
Lackawanna County (570) 963-1278
CHRISTOPHER D BROZENA DPT
Physical Therapist
2010 ADAMS AVE
SCRANTON, PA 18509
Lackawanna County (570) 963-1278
MR. MICHAEL THOMAS KANE PT
Physical Therapist
2010 ADAMS AVE
SCRANTON, PA 18509
Lackawanna County (570) 963-1278
KATHLEEN KLATT SLP
Speech-Language Pathologist
2010 ADAMS AVE
SCRANTON, PA 18509
Lackawanna County (570) 963-1278
ASHLEY CHRISTINE POLAK SLP
Speech-Language Pathologist
2010 ADAMS AVE
SCRANTON, PA 18509
Lackawanna County (570) 963-1278
MRS. WENDY MARIE RUNCO PT
Physical Therapist
2010 ADAMS AVE
SCRANTON, PA 18509
Lackawanna County (570) 963-1278
MR. MATTHEW MURPHY PT
Physical Therapist
2010 ADAMS AVE
SCRANTON, PA 18509
Lackawanna County (570) 963-1278
MRS. CHERYL L KING SPL
Speech-Language Pathologist
2010 ADAMS AVE
SCRANTON, PA 18509
Lackawanna County (570) 963-1278

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's Center's NPI number?

The NPI number for St. Joseph's Center is 1316075419. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is St. Joseph's Center located?

St. Joseph's Center is located at 2010 Adams Ave, Scranton, PA 18509. The listed phone number is (570) 342-8379.

What is St. Joseph's Center's specialty?

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

Does St. Joseph's Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2269271) is associated with this NPI, valid through September 22, 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 St. Joseph's Center was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.