PROVIVE WELLNESS SCRANTON LLC
NPI 1790638567
Substance Abuse Rehabilitation Facility in Scranton, PA

Active since February 19, 2026
1123 CAPOUSE AVE, SCRANTON, PA 18509(347) 374-1767 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Provive Wellness Scranton Llc NPPES

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

PROVIVE WELLNESS SCRANTON LLC (NPI 1790638567) is a healthcare organization registered as a substance abuse rehabilitation facility in Scranton, Pennsylvania and active in the NPI registry since February 2026. The organization lists Mayer Weber, Partner, as its authorized official.

NPPES Registry Identity

NPI1790638567
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePROVIVE WELLNESS SCRANTON LLC
Location Address1123 CAPOUSE AVEScranton, PA 18509-2730
Mailing Address15 Perlman Dr Ste 120Spring Valley, NY 10977-5281 · (347) 374-1767
Organization SubpartNo
Authorized OfficialMayer WeberPartner · (347) 374-1767
Enumeration DateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
NPI 1790638567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
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.

1123 CAPOUSE AVE, Scranton, PA 18509

Other Providers at the Same Location NPPES

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

Clinic/Center (Rehabilitation, Substance Use Disorder)
1123 CAPOUSE AVE
SCRANTON, PA 18509

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 Provive Wellness Scranton LLC's NPI number?

The NPI number for Provive Wellness Scranton LLC is 1790638567. It was assigned to this organization in the NPPES registry on February 19, 2026.

Where is Provive Wellness Scranton LLC located?

Provive Wellness Scranton LLC is located at 1123 Capouse Ave, Scranton, PA 18509. The listed phone number is (347) 374-1767.

What is Provive Wellness Scranton LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Provive Wellness Scranton LLC was last updated on February 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.