Active NPI
Upmc Kane
Doing business as Home Health
- Home Health Agency
- Kane, PA
National Provider Identifier
1023299146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 763105
- Legal business name
- UPMC KANE
- Doing business as
- Home Health
- Practice address
- 628 N Fraley St
Suite 3
Kane, PA 16735-9040 - Phone
- (814) 837-5171
- Fax
- (814) 837-7432
- NPI assigned
- Nov 16, 2007
- Last updated
- May 12, 2017
- Organization subpart
- Yes
- Parent organization
- UPMC HAMOT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Gary Rhodes
- Title
- Ceo
- Phone
- (814) 837-8585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 763105 | PA | Primary |
Addresses
Primary practice location
628 N Fraley St
Suite 3
Kane, PA 16735-9040
Mailing address
4372 Route 6
Kane, PA 16735-3060
Phone (814) 837-8585
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007457740051 | Medicaid | PA | |
| 1057 | Other | PA | HIGHMARK HHC |
Other names 1
- Home Health
National Provider Directory
National Provider Directory- Part of
- Physical Ther Hamot Med
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
4372 Route 6
Kane, PA 16735
Phone (814) 837-4741
628 N Fraley St
Ste 3
Kane, PA 16735
Phone (814) 837-5171
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/kanehos-bc9950aa
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Erie, PA
- NPI 1871598565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494547200000",
"number": "1023299146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4372 ROUTE 6",
"city": "KANE",
"state": "PA",
"postal_code": "167353060",
"telephone_number": "814-837-8585",
"fax_number": "814-837-4348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 N FRALEY ST",
"address_2": "SUITE 3",
"city": "KANE",
"state": "PA",
"postal_code": "167359040",
"telephone_number": "814-837-5171",
"fax_number": "814-837-7432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPMC KANE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UPMC HAMOT",
"enumeration_date": "2007-11-16",
"last_updated": "2017-05-12",
"status": "A",
"authorized_official_last_name": "RHODES",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "GARY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "814-837-8585"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "763105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007457740051",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK HHC",
"identifier": "1057",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kane, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.