Provider Demographics
NPI:1386867513
Name:BELL CLUB,INC.
Entity Type:Organization
Organization Name:BELL CLUB,INC.
Other - Org Name:BELL SOCIALIZATION SERVICES,INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:IVAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:HILEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-848-5767
Mailing Address - Street 1:160 SOUTH GEORGE STREET
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17401-1408
Mailing Address - Country:US
Mailing Address - Phone:717-848-5767
Mailing Address - Fax:
Practice Address - Street 1:202 CEDAR STREET
Practice Address - Street 2:
Practice Address - City:RED LION
Practice Address - State:PA
Practice Address - Zip Code:17356
Practice Address - Country:US
Practice Address - Phone:717-244-0354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA335540320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000050910006OtherPROMISE ID NUMBER
PA1000050910038OtherPROMISE ID NUMBER
PA1000050910007OtherPROMISE ID NUMBER
PA1000050910015OtherPROMISE ID NUMBER
PA1000050910009OtherPROMISE ID NUMBER
PA1000050910016OtherPROMISE ID NUMBER
PA1000050910020OtherPROMISE ID NUMBER
PA1000050910008OtherPROMISE ID NUMBER
PA1000050910039OtherPROMISE ID NUMBER
PA1000050910017OtherPROMISE ID NUMBER
PA1000050910018OtherPROMISE ID NUMBER
PA1000050910026OtherPROMISE ID NUMBER
PA1000050910011OtherPROMISE ID NUMBER
PA1000050910037OtherPROMISE ID NUMBER