NPIMap

Organization Active NPI

The Potters Klay Home Health Care Agency LLC

  • In Home Supportive Care Agency
  • Crescent, PA
National Provider Identifier
1033857552
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
THE POTTERS KLAY HOME HEALTH CARE AGENCY LLC
Practice address
162 McGovern Blvd
Crescent, PA 15046
Phone
(412) 623-9894
NPI assigned
May 24, 2022
Last updated
May 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Kennola Slater
Title
Owner/President
Phone
(412) 623-9894

Specialties & licenses 1

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

Addresses

Primary practice location

162 McGovern Blvd
Crescent, PA 15046

Mailing address

162 McGovern Blvd
Crescent, PA 15046
Phone (412) 623-9894

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1033857552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 MCGOVERN BLVD",
            "city": "CRESCENT",
            "state": "PA",
            "postal_code": "15046",
            "telephone_number": "412-623-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 MCGOVERN BLVD",
            "city": "CRESCENT",
            "state": "PA",
            "postal_code": "15046",
            "telephone_number": "412-623-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE POTTERS KLAY HOME HEALTH CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "KENNOLA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "412-623-9894"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crescent, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.