Active NPI
Landis HCBS
- In Home Supportive Care Agency
- Lititz, PA
National Provider Identifier
1013497601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 13493601
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13493601 | Other | PA | PA DOH LICENSE |
Other names 1
- Landis at Home
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2076177 | Landis at Home, LLC | Certificate of waiver | Apr 13, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Landis HCBS
- Part of
- Landis HCBS
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Lititz, PA
- NPI 1528621505
-
- Adult Day Care Clinic/Center
- Lititz, PA
- NPI 1750945952
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.