1699840736 NPI number — UPMC HOME HEALTHCARE OF CENTRAL PENNSYLVANIA

Table of content: (NPI 1699840736)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699840736 NPI number — UPMC HOME HEALTHCARE OF CENTRAL PENNSYLVANIA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UPMC HOME HEALTHCARE OF CENTRAL PENNSYLVANIA
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:
Provider Other Organization Name Type Code:
6
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:
1699840736
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/03/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
201 CHESTNUT AVE
Provider Second Line Business Mailing Address:
HOSPICE
Provider Business Mailing Address City Name:
ALTOONA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16601-4927
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-946-5411
Provider Business Mailing Address Fax Number:
814-942-1673

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20 SHERATON DR
Provider Second Line Business Practice Location Address:
HOSPICE
Provider Business Practice Location Address City Name:
ALTOONA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16601-9316
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-949-6784
Provider Business Practice Location Address Fax Number:
814-941-1605
Provider Enumeration Date:
11/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GRIFFITH
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
724-778-4606

Provider Taxonomy Codes

  • Taxonomy code: 207QH0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251G00000X , with the licence number: 150599 , 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: 1007 . This is a "HIGHMARK" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 30847 . This is a "GEISINGER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007767800059 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1024960 . This is a "GATEWAY HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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