Organization Active NPI

Landis HCBS

  • In Home Supportive Care Agency
  • Lititz, PA
National Provider Identifier
1013497601
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
13493601 Issued in PA
Legal business name
LANDIS HCBS
Practice address
1001 E Oregon Rd
Lititz, PA 17543-9205
Phone
(717) 874-8260
NPI assigned
Aug 14, 2018
Organization subpart
Yes
Parent organization
LANDIS HCBS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Evon L Bergey, LCSW
Title
Executive Director
Phone
(717) 874-8260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 13493601 PA Primary

Addresses

Primary practice location

1001 E Oregon Rd
Lititz, PA 17543-9205

Mailing address

1001 East Oregon Rd.
Lititz, PA 17543
Phone (717) 874-8260

Other identifiers 1

IdentifierTypeStateIssuer
13493601OtherPAPA DOH LICENSE

Other names 1

  • Landis at Home Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2076177Landis at Home, LLC1001 East Oregon Road, Lititz, PA 17543Certificate of waiverApr 13, 2028

National Provider Directory

National Provider Directory
Tax ID family
Landis HCBS3 organizations share this tax ID, including this one
Part of
Landis HCBS

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1013497601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 EAST OREGON RD.",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "17543",
            "telephone_number": "717-874-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E OREGON RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439205",
            "telephone_number": "717-874-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDIS HCBS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANDIS HCBS, LLC",
        "enumeration_date": "2018-08-14",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "BERGEY",
        "authorized_official_first_name": "EVON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "717-874-8260",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "13493601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA DOH LICENSE",
            "identifier": "13493601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landis at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Landis at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lititz, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.