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PENN RESIDENTIAL, INC.
NPI 1689911554
Residential Treatment Facility, Emotionally Disturbed Children in New Stanton, PA

Active since January 11, 2013
PO BOX C, NEW STANTON, PA 15672(724) 635-0048(724) 635-0746 Get Directions Write a Review

NPPES record last updated: January 11, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Penn Residential, Inc. NPPES

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

PENN RESIDENTIAL, INC. (NPI 1689911554) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in New Stanton, Pennsylvania and active in the NPI registry since January 2013. The organization lists Clyde Williams, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1689911554
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NamePENN RESIDENTIAL, INC.
Location AddressPO BOX CNew Stanton, PA 15672-0417
Mailing AddressPo Box CNew Stanton, PA 15672-0417 · (724) 635-0048 · Fax (724) 635-0746
Phone(724) 635-0048
Fax(724) 635-0746
Organization SubpartNo
Authorized OfficialClyde WilliamsC.e.o. · (724) 635-0048
Enumeration DateJanuary 11, 2013
✔ NPI 1689911554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in PA · 444280
Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

PO BOX C, New Stanton, PA 15672
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Other Identifiers 1

Medicaid102577794PA

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 Penn Residential, Inc.'s NPI number?

The NPI number for Penn Residential, Inc. is 1689911554. It was assigned to this organization in the NPPES registry on January 11, 2013.

Where is Penn Residential, Inc. located?

Penn Residential, Inc. is located at PO Box C, New Stanton, PA 15672. The listed phone number is (724) 635-0048.

What is Penn Residential, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Penn Residential, Inc. was last updated on January 11, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.