Organization Active NPI

Patriot Home Care, Inc

  • Home Health Agency
  • Pittsburgh, PA
National Provider Identifier
1063988160
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Oct 17, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
103000160-0003MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Patriot Home Care Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.