2309 Stafford Avenue Opco, LLC
Community Based Residential Treatment Facility, Mental Illness in Scranton, Pennsylvania
1528928389- Practice location
- 2309 Stafford Ave, Scranton, PA 18505-3686
- Phone
- 856-282-5590
- Fax
- —
- Last updated
- October 19, 2026
2309 Stafford Avenue Opco, LLC is a healthcare organization based in Scranton, PA. 2309 Stafford Avenue Opco, LLC practices in Scranton, PA. The NPI Number for 2309 Stafford Avenue Opco, LLC is 1528928389. The current practice location address for 2309 Stafford Avenue Opco, LLC is 2309 Stafford Ave, Scranton, PA 18505-3686 and can be reached out via phone at 856-282-5590.
Provider Profile Details
- NPI Number
- 1528928389
- Provider Name
- 2309 Stafford Avenue Opco, LLC
- Provider Entity Type
- Organization
- Address
- 2309 Stafford Ave, Scranton, PA 18505-3686
- Phone Number
- 856-282-5590
- Primary Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X
- Organization Subpart
- No
- Authorized Official
- Jennifer Mellon · Vp Compliance · 856-282-5590
- Provider Enumeration Date
- November 14, 2025
- Last Update Date
- October 19, 2026
- Certification Date
- October 19, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2309 Stafford Ave
Scranton, PA 18505-3686 - City
- Scranton
- State
- Pennsylvania
- Zip
- 18505-3686
- Phone Number
- 856-282-5590
Provider Business Mailing Address Details
- Address
- 5 Eves Dr
Marlton, NJ 08053-3135 - City
- Marlton
- State
- NJ
- Zip
- 08053-3135
License Information
- Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 2309 Stafford Avenue Opco, LLC?
The NPI number of 2309 Stafford Avenue Opco, LLC is 1528928389. It was assigned on November 14, 2025 and is currently active in the NPPES registry.
What is the specialty of 2309 Stafford Avenue Opco, LLC?
2309 Stafford Avenue Opco, LLC is registered under the primary taxonomy Community Based Residential Treatment Facility, Mental Illness (code 320800000X).
Where does 2309 Stafford Avenue Opco, LLC practice?
The practice location is 2309 Stafford Ave, Scranton, PA 18505-3686. The office can be reached at 856-282-5590 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528928389 directly on the NPPES registry website.