Active NPI
Brookline Home Care, Inc.
- Home Health Agency
- State College, PA
National Provider Identifier
1013917152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 761405
- Legal business name
- BROOKLINE HOME CARE, INC.
- Practice address
- 3901 S Atherton St
State College, PA 16801-8324 - Phone
- (814) 466-4800
- Fax
- (814) 466-4806
- NPI assigned
- Jul 29, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lesa Schaffer
- Title
- Director
- Phone
- (814) 466-4800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 761405 | PA | Primary |
Addresses
Primary practice location
3901 S Atherton St
State College, PA 16801-8324
Mailing address
3901 S Atherton St
State College, PA 16801-8324
Phone (814) 466-4800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01725620 | Medicaid | PA | |
| 01570642 | Medicaid | PA |
Other names 1
- Brookline Home Care & Hospice
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013917152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 S ATHERTON ST",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168018324",
"telephone_number": "814-466-4800",
"fax_number": "814-466-4806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 S ATHERTON ST",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168018324",
"telephone_number": "814-466-4800",
"fax_number": "814-466-4806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKLINE HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCHAFFER",
"authorized_official_first_name": "LESA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "814-466-4800"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "761405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01725620",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01570642",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brookline Home Care & Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.