BEDFORD-SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES
NPI 1841490547
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Berlin, PA

Active since July 20, 2007
712 SHADY LN, BERLIN, PA 15530(814) 267-7119 Get Directions Write a Review

NPPES record last updated: April 28, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community Based Residential Treatment Fa...

About BEDFORD-SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Bedford-somerset Developmental And Behavioral Health Services, a provider established in Berlin, Pennsylvania operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1841490547 assigned on July 2007. The practitioner's primary taxonomy code is 320900000X with license number 359650 (PA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Ms. Jennifer Elaine Smith (Administrative Assistant)

NPI
1841490547 Verify this NPI
Provider Name
BEDFORD-SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES
Entity Type
Organization
Location Address
712 SHADY LN BERLIN, PA 15530
Location Phone
(814) 267-7119
Mailing Address
245 W RACE ST SOMERSET, PA 15501
Mailing Phone
(814) 443-4891
Mailing Fax
(814) 443-4898
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-20-2007
Last Update Date
04-28-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
359650
License State
PA
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. JENNIFER ELAINE SMITH

Authorized Official Title
ADMINISTRATIVE ASSISTANT
Authorized Official Phone
(814) 443-4891

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841490547, enumerated as an "organization" on July 20, 2007.

The provider is located at 712 SHADY LN BERLIN, PA 15530 and the phone number is (814) 267-7119.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.