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SPIRTILIFE
NPI 1609250976
Substance Abuse Rehabilitation Facility in Penn Run, PA

Active since July 16, 2015CLIA 39D2215928 · Waiver
170 FR MARTIN TELENSON RD, PENN RUN, PA 15765(724) 465-2165 Get Directions Write a Review

NPPES record last updated: July 16, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Spirtilife NPPES

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

SPIRTILIFE (NPI 1609250976) is a healthcare organization registered as a substance abuse rehabilitation facility in Penn Run, Pennsylvania and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through March 8, 2027 and lists Louis E Wagner, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1609250976
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSPIRTILIFE
Location Address170 FR MARTIN TELENSON RDPenn Run, PA 15765-7336
Mailing Address170 Fr Martin Telenson RdPenn Run, PA 15765-7336 · (724) 465-2165
Phone(724) 465-2165
Organization SubpartNo
Authorized OfficialLouis E WagnerExecutive Director · (724) 465-2165
Enumeration DateJuly 16, 2015
✔ NPI 1609250976 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 · 327027
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.
170 FR MARTIN TELENSON RD, Penn Run, PA 15765
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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 39D2215928

Spiritlife, Inc · Penn Run, PA
Active · expires Mar 8, 2027
CLIA Number39D2215928
Laboratory TypeSubstance Abuse Trmt Ctr
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorDr. Robert P. Snyder
Laboratory Phone(724) 465-2165
Laboratory LocationSpiritlife, Inc170 Fr Martin Telenson Lane, Penn Run, PA 15765
CLIA data matches this NPI record on: 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 Spirtilife's NPI number?

The NPI number for Spirtilife is 1609250976. It was assigned to this organization in the NPPES registry on July 16, 2015.

Where is Spirtilife located?

Spirtilife is located at 170 Fr Martin Telenson Rd, Penn Run, PA 15765. The listed phone number is (724) 465-2165.

What is Spirtilife's specialty?

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

Does Spirtilife hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2215928) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Spirtilife was last updated on July 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.