Phoenix Rural Home Health of PA

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PHOENIX RURAL HOME HEALTH OF PA

Practice address

730 Erie Ave
Renovo, PA 17764-1130

Phone

(570) 243-1006

Fax

(570) 858-0041

NPI assigned

Nov 13, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Gipe Werts, RN

Title

Director of Nursing

Phone

(570) 295-6519

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1033933387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 ERIE AVE",
            "city": "RENOVO",
            "state": "PA",
            "postal_code": "177641130",
            "telephone_number": "570-243-1006",
            "fax_number": "570-858-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 ERIE AVE",
            "city": "RENOVO",
            "state": "PA",
            "postal_code": "177641130",
            "telephone_number": "570-243-1006",
            "fax_number": "570-858-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RURAL HOME HEALTH OF PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "WERTS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "GIPE",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "570-295-6519",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Mae Jones-Sutliff, PAC
• Toni Alice Marcheskie, MD
• Courtney Mason
• N Central PA Emergency Physicians, LLC
• PA Rte 120 Inpatient Services, LLC
• Probst Family Practice, LLC
• Demetri Eugene Probst
• Renovo Fire Department Inc
• Renovo Pharmacy Inc.
• Robert Louis Stehman Jr., RPH

• All providers in Renovo, PA
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.