Active NPI
Patriot Home Care, Inc
- Home Health Agency
- Pittsburgh, PA
National Provider Identifier
1063988160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PATRIOT HOME CARE, INC
- Practice address
- 239 4TH Ave Ste 1005
Pittsburgh, PA 15222-1706 - Phone
- (412) 274-8080
- Fax
- (412) 235-7419
- NPI assigned
- Oct 17, 2018
- 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
- Volodymir Matkivski
- Title
- Director
- Phone
- (877) 535-5550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
239 4TH Ave Ste 1005
Pittsburgh, PA 15222-1706
Mailing address
5700 N Broad St Ste 3
Philadelphia, PA 19141-2324
Phone (877) 535-5550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103000160-0003 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Patriot Home Care Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Allentown, PA
- NPI 1265908362
-
- Home Health Agency
- Harrisburg, PA
- NPI 1316413412
-
- Home Health Agency
- Philadelphia, PA
- NPI 1649681362
Locations
5700 N Broad St
Ste 3
Philadelphia, PA 19141
239 4th Ave
Ste 1005
Pittsburgh, PA 15222
Phone (412) 274-8080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539734400000",
"number": "1063988160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 N BROAD ST STE 3",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191412324",
"telephone_number": "877-535-5550",
"fax_number": "267-871-8028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 4TH AVE STE 1005",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152221706",
"telephone_number": "412-274-8080",
"fax_number": "412-235-7419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRIOT HOME CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-17",
"last_updated": "2018-10-17",
"status": "A",
"authorized_official_last_name": "MATKIVSKI",
"authorized_official_first_name": "VOLODYMIR",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "877-535-5550"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103000160-0003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.