Organization Active NPI

Family to Family Home Healthcare Agency, LLC

  • Home Health Agency
  • Meadville, PA
National Provider Identifier
1043608284
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAMILY TO FAMILY HOME HEALTHCARE AGENCY, LLC
Practice address
900 Water St
Suite 19
Meadville, PA 16335-3428
Phone
(814) 807-0409
Fax
(814) 807-0439
NPI assigned
Dec 22, 2014
Last updated
Dec 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Kimberly Dawn Sippy, RN
Title
Admin/Don
Phone
(814) 807-0409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

900 Water St
Suite 19
Meadville, PA 16335-3428

Mailing address

900 Water St
Suite 19
Meadville, PA 16335-3428
Phone (814) 807-0409

Other identifiers 1

IdentifierTypeStateIssuer
1025411650001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1043608284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WATER ST",
            "address_2": "SUITE 19",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353428",
            "telephone_number": "814-807-0409",
            "fax_number": "814-807-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WATER ST",
            "address_2": "SUITE 19",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353428",
            "telephone_number": "814-807-0409",
            "fax_number": "814-807-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TO FAMILY HOME HEALTHCARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "SIPPY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "ADMIN/DON",
        "authorized_official_telephone_number": "814-807-0409",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025411650001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.