1992705438 NPI number — SUN HOME HEALTH SERVICES, INC.

Table of content: (NPI 1992705438)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992705438 NPI number — SUN HOME HEALTH SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SUN HOME HEALTH SERVICES, 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:
Provider Other Organization Name Type Code:
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:
1992705438
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 232
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTHUMBERLAND
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17857-0232
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
570-473-8320
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
61 DUKE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTHUMBERLAND
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17857-1908
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-473-8320
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
RICHARD
Authorized Official First Name:
STEVEN
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
570-473-7625

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  709505 , 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: 476209 . This is a "BLACK LUNG" identifier . This identifiers is of the category "OTHER".
  • Identifier: 70124 . This is a "THREE RIVERS HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00709499 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1645 . This is a "HIGHMARK BLUE CROSS/BLUE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7391901 . This is a "GATEWAY HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 30487 . This is a "GEISINGER HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10688 . This is a "HEALTH AMERICA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 555417 . This is a "AETNA US HEALTHCARE" identifier . This identifiers is of the category "OTHER".




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