LITTLE CREEK LODGE
NPI 1508290636
Substance Abuse Rehabilitation Facility in Lake Ariel, PA

Q: What is Little Creek Lodge's NPI number?

The NPI number for Little Creek Lodge is 1508290636. It was assigned to this organization in the NPPES registry on August 26, 2013.

Q: What is Little Creek Lodge's specialty?

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

Active since August 26, 2013CLIA 39D2049688 · Waiver

359 EASTON TPKE, LAKE ARIEL, PA 18436(570) 689-2644(570) 689-2744 Get Directions Write a Review

NPPES record last updated: August 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Little Creek Lodge NPPES

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

LITTLE CREEK LODGE (NPI 1508290636) is a healthcare organization registered as a substance abuse rehabilitation facility in Lake Ariel, Pennsylvania and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Barbara Warren-pace, Cfo, as its authorized official.

NPPES Registry Identity

NPI1508290636

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameLITTLE CREEK LODGE

Location Address359 EASTON TPKELake Ariel, PA 18436-4794

Mailing AddressPo Box 942Hamlin, PA 18427-0942 · (570) 689-2644 · Fax (570) 689-2744

Phone(570) 689-2644

Fax(570) 689-2744

Organization SubpartNo

Authorized OfficialBarbara Warren-paceCfo · (570) 689-2644

Enumeration DateAugust 26, 2013

✔ NPI 1508290636 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 · 647020

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.

359 EASTON TPKE, Lake Ariel, PA 18436

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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 39D2049688

Little Creek Lodge · Lake Ariel, PA

Active · expires Nov 12, 2026

CLIA Number39D2049688

Laboratory TypeNon Hosp Rehab

Certificate Effective DateNovember 13, 2024

Certificate Expiration DateNovember 12, 2026

Laboratory DirectorDr. Kurt W. Braun

Laboratory Phone(570) 689-2644

Laboratory LocationLittle Creek Lodge359 Easton Turnpike, Lake Ariel, PA 18436

CLIA data matches this NPI record on: Name Phone

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 Little Creek Lodge's NPI number?

The NPI number for Little Creek Lodge is 1508290636. It was assigned to this organization in the NPPES registry on August 26, 2013.

Where is Little Creek Lodge located?

Little Creek Lodge is located at 359 Easton Tpke, Lake Ariel, PA 18436. The listed phone number is (570) 689-2644.

What is Little Creek Lodge's specialty?

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

Does Little Creek Lodge hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2049688) is associated with this NPI, valid through November 12, 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 Little Creek Lodge was last updated on August 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.