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MASONIC VILLAGE AT ELIZABETHTOWN
NPI 1730433343
Day Training, Developmentally Disabled Services in Elizabethtown, PA

Active since November 05, 2012
581 FREEMASON DR, ELIZABETHTOWN, PA 17022(717) 367-1121(717) 367-5813 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Masonic Village At Elizabethtown NPPES

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

MASONIC VILLAGE AT ELIZABETHTOWN (NPI 1730433343) is a healthcare organization registered as a day training, developmentally disabled services in Elizabethtown, Pennsylvania and active in the NPI registry since November 2012. The organization lists Pamela Formica, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1730433343
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameMASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA
Location Address581 FREEMASON DRElizabethtown, PA 17022-3187
Mailing Address1 Masonic DrElizabethtown, PA 17022-2199 · (717) 367-1121 · Fax (717) 367-5813
Phone(717) 367-1121
Fax(717) 367-5813
Organization SubpartNo
Authorized OfficialPamela FormicaChief Financial Officer · (717) 367-1121
Enumeration DateNovember 5, 2012
Last NPPES UpdateMay 1, 2023
NPPES CertifiedMay 1, 2023
✔ NPI 1730433343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X · License 261960 (PA)
581 FREEMASON DR, Elizabethtown, PA 17022
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Other Names 1

Doing Business AsMasonic Village At Elizabethtown

Other Providers at the Same Location NPPES 3

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

MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA
Skilled Nursing Facility
581 FREEMASON DR
ELIZABETHTOWN, PA 17022
Lancaster County (717) 367-1121
MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA
Hospice, Inpatient
581 FREEMASON DR
ELIZABETHTOWN, PA 17022
Lancaster County (717) 367-1121
MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA
Clinical Medical Laboratory
581 FREEMASON DR
ELIZABETHTOWN, PA 17022
Lancaster County (717) 367-1121

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 Masonic Villages Of The Grand Lodge Of Pennsylvania's NPI number?

The NPI number for Masonic Villages Of The Grand Lodge Of Pennsylvania is 1730433343. It was assigned to this organization in the NPPES registry on November 5, 2012. The provider is doing business as Masonic Village At Elizabethtown.

Where is Masonic Villages Of The Grand Lodge Of Pennsylvania located?

Masonic Villages Of The Grand Lodge Of Pennsylvania is located at 581 Freemason Dr, Elizabethtown, PA 17022. The listed phone number is (717) 367-1121.

What is Masonic Villages Of The Grand Lodge Of Pennsylvania's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Masonic Villages Of The Grand Lodge Of Pennsylvania was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.