1538143268 NPI number — COMMUNITY NURSES HOME HEALTH AND HOSPICE INC

Table of content: (NPI 1538143268)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538143268 NPI number — COMMUNITY NURSES HOME HEALTH AND HOSPICE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMMUNITY NURSES HOME HEALTH AND HOSPICE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PENN HIGHLANDS COMMUNITY NURSES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538143268
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/12/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
757 JOHNSONBURG RD. SUITE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ST. MARYS
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15857-3497
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-781-1415
Provider Business Mailing Address Fax Number:
814-781-6987

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
504 PARK AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLEARFIELD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16830-2116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-841-9397
Provider Business Practice Location Address Fax Number:
800-843-9620
Provider Enumeration Date:
12/06/2005

Additional Information

Authorized Official

Authorized Official Last Name:
MITCHELL
Authorized Official First Name:
CHERYL
Authorized Official Middle Name:
Authorized Official Title or Position:
SERVICE LINE DIRECTOR
Authorized Official Telephone Number:
814-781-1415

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  709105 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1000066150016 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com