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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header
 
Name: PEDIA MANOR INC
Address: 2881 GOLF CIR
EMMAUS, PA 18049-1733
Phone: (610) 984-4258
Fax: (866) 709-0050
E-mail: SHELLEY@PEDIAMANOR.ORG
Web Site: N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header
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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header
 
Type: Corporate Office
Name: PEDIA MANOR INC
Address: 2881 GOLF CIR
EMMAUS, PA 18049-1733
Phone: (610) 984-4258

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PROVIDER SERVICES AND RATES Supporting line for group header
 
County : Berks
|Service Name / Level |Rate
Res Hab-1 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-1 Person-NG 3-Elig $980.38 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,185.86 / 1 Day
Res Hab-1 Person-NG5-Elig $1,754.51 / 1 Day
Res Hab-2 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-2 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-2 Person-NG 3-Elig $726.82 / 1 Day
Res Hab-2 Person-NG 4-Elig $869.36 / 1 Day
Res Hab-2 Person-NG5-Elig $1,312.57 / 1 Day
Res Hab-3 Person-NG 1-Elig $411.03 / 1 Day
Res Hab-3 Person-NG 2-Elig $468.38 / 1 Day
Res Hab-3 Person-NG 3-Elig $545.05 / 1 Day
Res Hab-3 Person-NG 4-Elig $662.22 / 1 Day
Res Hab-3 Person-NG5-Elig $1,004.32 / 1 Day
Res Hab-Lic-1 Person-Inelig $105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig $57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig $41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1 $322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2 $367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3 $425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4 $510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig $31.91 / 1 Day
Supplemental Habilitation 1:1 - 15 min $6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min $12.22 / 15 min.
 
County : Bucks
|Service Name / Level |Rate
Res Hab-1 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-1 Person-NG 3-Elig $980.38 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,185.86 / 1 Day
Res Hab-1 Person-NG5-Elig $1,754.51 / 1 Day
Res Hab-2 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-2 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-2 Person-NG 3-Elig $726.82 / 1 Day
Res Hab-2 Person-NG 4-Elig $869.36 / 1 Day
Res Hab-2 Person-NG5-Elig $1,312.57 / 1 Day
Res Hab-3 Person-NG 1-Elig $411.03 / 1 Day
Res Hab-3 Person-NG 2-Elig $468.38 / 1 Day
Res Hab-3 Person-NG 3-Elig $545.05 / 1 Day
Res Hab-3 Person-NG 4-Elig $662.22 / 1 Day
Res Hab-3 Person-NG5-Elig $1,004.32 / 1 Day
Res Hab-Lic-1 Person-Inelig $105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig $57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig $41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1 $322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2 $367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3 $425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4 $510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig $31.91 / 1 Day
Supplemental Habilitation 1:1 - 15 min $6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min $12.22 / 15 min.
 
County : Carbon/Monroe/Pike
|Service Name / Level |Rate
Res Hab-1 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-1 Person-NG 3-Elig $980.38 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,185.86 / 1 Day
Res Hab-1 Person-NG5-Elig $1,754.51 / 1 Day
Res Hab-2 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-2 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-2 Person-NG 3-Elig $726.82 / 1 Day
Res Hab-2 Person-NG 4-Elig $869.36 / 1 Day
Res Hab-2 Person-NG5-Elig $1,312.57 / 1 Day
Res Hab-3 Person-NG 1-Elig $411.03 / 1 Day
Res Hab-3 Person-NG 2-Elig $468.38 / 1 Day
Res Hab-3 Person-NG 3-Elig $545.05 / 1 Day
Res Hab-3 Person-NG 4-Elig $662.22 / 1 Day
Res Hab-3 Person-NG5-Elig $1,004.32 / 1 Day
Res Hab-Lic-1 Person-Inelig $105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig $57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig $41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1 $322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2 $367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3 $425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4 $510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig $31.91 / 1 Day
Supplemental Habilitation 1:1 - 15 min $6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min $12.22 / 15 min.
 
County : Chester
|Service Name / Level |Rate
Res Hab-1 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-1 Person-NG 3-Elig $980.38 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,185.86 / 1 Day
Res Hab-1 Person-NG5-Elig $1,754.51 / 1 Day
Res Hab-2 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-2 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-2 Person-NG 3-Elig $726.82 / 1 Day
Res Hab-2 Person-NG 4-Elig $869.36 / 1 Day
Res Hab-2 Person-NG5-Elig $1,312.57 / 1 Day
Res Hab-3 Person-NG 1-Elig $411.03 / 1 Day
Res Hab-3 Person-NG 2-Elig $468.38 / 1 Day
Res Hab-3 Person-NG 3-Elig $545.05 / 1 Day
Res Hab-3 Person-NG 4-Elig $662.22 / 1 Day
Res Hab-3 Person-NG5-Elig $1,004.32 / 1 Day
Res Hab-Lic-1 Person-Inelig $105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig $57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig $41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1 $322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2 $367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3 $425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4 $510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig $31.91 / 1 Day
Supplemental Habilitation 1:1 - 15 min $6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min $12.22 / 15 min.
 
County : Dauphin
|Service Name / Level |Rate
Res Hab-1 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-1 Person-NG 3-Elig $980.38 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,185.86 / 1 Day
Res Hab-1 Person-NG5-Elig $1,754.51 / 1 Day
Res Hab-2 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-2 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-2 Person-NG 3-Elig $726.82 / 1 Day
Res Hab-2 Person-NG 4-Elig $869.36 / 1 Day
Res Hab-2 Person-NG5-Elig $1,312.57 / 1 Day
Res Hab-3 Person-NG 1-Elig $411.03 / 1 Day
Res Hab-3 Person-NG 2-Elig $468.38 / 1 Day
Res Hab-3 Person-NG 3-Elig $545.05 / 1 Day
Res Hab-3 Person-NG 4-Elig $662.22 / 1 Day
Res Hab-3 Person-NG5-Elig $1,004.32 / 1 Day
Res Hab-Lic-1 Person-Inelig $105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig $57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig $41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1 $322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2 $367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3 $425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4 $510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig $31.91 / 1 Day
Supplemental Habilitation 1:1 - 15 min $6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min $12.22 / 15 min.
 
County : Delaware
|Service Name / Level |Rate
Res Hab-1 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-1 Person-NG 3-Elig $980.38 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,185.86 / 1 Day
Res Hab-1 Person-NG5-Elig $1,754.51 / 1 Day
Res Hab-2 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-2 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-2 Person-NG 3-Elig $726.82 / 1 Day
Res Hab-2 Person-NG 4-Elig $869.36 / 1 Day
Res Hab-2 Person-NG5-Elig $1,312.57 / 1 Day
Res Hab-3 Person-NG 1-Elig $411.03 / 1 Day
Res Hab-3 Person-NG 2-Elig $468.38 / 1 Day
Res Hab-3 Person-NG 3-Elig $545.05 / 1 Day
Res Hab-3 Person-NG 4-Elig $662.22 / 1 Day
Res Hab-3 Person-NG5-Elig $1,004.32 / 1 Day
Res Hab-Lic-1 Person-Inelig $105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig $57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig $41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1 $322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2 $367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3 $425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4 $510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig $31.91 / 1 Day
Supplemental Habilitation 1:1 - 15 min $6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min $12.22 / 15 min.
 
County : Lackawanna/Susquehanna
|Service Name / Level |Rate
Res Hab-1 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-1 Person-NG 3-Elig $980.38 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,185.86 / 1 Day
Res Hab-1 Person-NG5-Elig $1,754.51 / 1 Day
Res Hab-2 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-2 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-2 Person-NG 3-Elig $726.82 / 1 Day
Res Hab-2 Person-NG 4-Elig $869.36 / 1 Day
Res Hab-2 Person-NG5-Elig $1,312.57 / 1 Day
Res Hab-3 Person-NG 1-Elig $411.03 / 1 Day
Res Hab-3 Person-NG 2-Elig $468.38 / 1 Day
Res Hab-3 Person-NG 3-Elig $545.05 / 1 Day
Res Hab-3 Person-NG 4-Elig $662.22 / 1 Day
Res Hab-3 Person-NG5-Elig $1,004.32 / 1 Day
Res Hab-Lic-1 Person-Inelig $105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig $57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig $41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1 $322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2 $367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3 $425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4 $510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig $31.91 / 1 Day
Supplemental Habilitation 1:1 - 15 min $6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min $12.22 / 15 min.
 
County : Lehigh
|Service Name / Level |Rate
Res Hab-1 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-1 Person-NG 3-Elig $980.38 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,185.86 / 1 Day
Res Hab-1 Person-NG5-Elig $1,754.51 / 1 Day
Res Hab-2 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-2 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-2 Person-NG 3-Elig $726.82 / 1 Day
Res Hab-2 Person-NG 4-Elig $869.36 / 1 Day
Res Hab-2 Person-NG5-Elig $1,312.57 / 1 Day
Res Hab-3 Person-NG 1-Elig $411.03 / 1 Day
Res Hab-3 Person-NG 2-Elig $468.38 / 1 Day
Res Hab-3 Person-NG 3-Elig $545.05 / 1 Day
Res Hab-3 Person-NG 4-Elig $662.22 / 1 Day
Res Hab-3 Person-NG5-Elig $1,004.32 / 1 Day
Res Hab-Lic-1 Person-Inelig $105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig $57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig $41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1 $322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2 $367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3 $425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4 $510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig $31.91 / 1 Day
Supplemental Habilitation 1:1 - 15 min $6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min $12.22 / 15 min.
 
County : Luzerne/Wyoming
|Service Name / Level |Rate
Res Hab-1 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-1 Person-NG 3-Elig $980.38 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,185.86 / 1 Day
Res Hab-1 Person-NG5-Elig $1,754.51 / 1 Day
Res Hab-2 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-2 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-2 Person-NG 3-Elig $726.82 / 1 Day
Res Hab-2 Person-NG 4-Elig $869.36 / 1 Day
Res Hab-2 Person-NG5-Elig $1,312.57 / 1 Day
Res Hab-3 Person-NG 1-Elig $411.03 / 1 Day
Res Hab-3 Person-NG 2-Elig $468.38 / 1 Day
Res Hab-3 Person-NG 3-Elig $545.05 / 1 Day
Res Hab-3 Person-NG 4-Elig $662.22 / 1 Day
Res Hab-3 Person-NG5-Elig $1,004.32 / 1 Day
Res Hab-Lic-1 Person-Inelig $105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig $57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig $41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1 $322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2 $367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3 $425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4 $510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig $31.91 / 1 Day
Supplemental Habilitation 1:1 - 15 min $6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min $12.22 / 15 min.
 
County : Montgomery
|Service Name / Level |Rate
Res Hab-1 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-1 Person-NG 3-Elig $980.38 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,185.86 / 1 Day
Res Hab-1 Person-NG5-Elig $1,754.51 / 1 Day
Res Hab-2 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-2 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-2 Person-NG 3-Elig $726.82 / 1 Day
Res Hab-2 Person-NG 4-Elig $869.36 / 1 Day
Res Hab-2 Person-NG5-Elig $1,312.57 / 1 Day
Res Hab-3 Person-NG 1-Elig $411.03 / 1 Day
Res Hab-3 Person-NG 2-Elig $468.38 / 1 Day
Res Hab-3 Person-NG 3-Elig $545.05 / 1 Day
Res Hab-3 Person-NG 4-Elig $662.22 / 1 Day
Res Hab-3 Person-NG5-Elig $1,004.32 / 1 Day
Res Hab-Lic-1 Person-Inelig $105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig $57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig $41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1 $322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2 $367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3 $425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4 $510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig $31.91 / 1 Day
Supplemental Habilitation 1:1 - 15 min $6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min $12.22 / 15 min.
 
County : Northampton
|Service Name / Level |Rate
Res Hab-1 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-1 Person-NG 3-Elig $980.38 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,185.86 / 1 Day
Res Hab-1 Person-NG5-Elig $1,754.51 / 1 Day
Res Hab-2 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-2 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-2 Person-NG 3-Elig $726.82 / 1 Day
Res Hab-2 Person-NG 4-Elig $869.36 / 1 Day
Res Hab-2 Person-NG5-Elig $1,312.57 / 1 Day
Res Hab-3 Person-NG 1-Elig $411.03 / 1 Day
Res Hab-3 Person-NG 2-Elig $468.38 / 1 Day
Res Hab-3 Person-NG 3-Elig $545.05 / 1 Day
Res Hab-3 Person-NG 4-Elig $662.22 / 1 Day
Res Hab-3 Person-NG5-Elig $1,004.32 / 1 Day
Res Hab-Lic-1 Person-Inelig $105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig $57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig $41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1 $322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2 $367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3 $425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4 $510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig $31.91 / 1 Day
Supplemental Habilitation 1:1 - 15 min $6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min $12.22 / 15 min.
 
County : Philadelphia
|Service Name / Level |Rate
Res Hab-1 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-1 Person-NG 3-Elig $980.38 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,185.86 / 1 Day
Res Hab-1 Person-NG5-Elig $1,754.51 / 1 Day
Res Hab-2 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-2 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-2 Person-NG 3-Elig $726.82 / 1 Day
Res Hab-2 Person-NG 4-Elig $869.36 / 1 Day
Res Hab-2 Person-NG5-Elig $1,312.57 / 1 Day
Res Hab-3 Person-NG 1-Elig $411.03 / 1 Day
Res Hab-3 Person-NG 2-Elig $468.38 / 1 Day
Res Hab-3 Person-NG 3-Elig $545.05 / 1 Day
Res Hab-3 Person-NG 4-Elig $662.22 / 1 Day
Res Hab-3 Person-NG5-Elig $1,004.32 / 1 Day
Res Hab-Lic-1 Person-Inelig $105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig $57.29 / 1 Day
Res Hab-Lic-3 Person-Inelig $41.06 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1 $322.49 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2 $367.82 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3 $425.56 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4 $510.56 / 1 Day
Res Hab-Lic-4 Person-Inelig $31.91 / 1 Day
Supplemental Habilitation 1:1 - 15 min $6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min $12.22 / 15 min.

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