Organization Active NPI

Susquehanna Valley Home Health Care

  • Home Health Agency
  • Danville, PA
National Provider Identifier
1073587796
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
02190501 Issued in PA
Legal business name
SUSQUEHANNA VALLEY HOME HEALTH CARE
Practice address
273 Gotschal Rd
Danville, PA 17821
Phone
(570) 271-0933
Fax
(570) 271-2830
NPI assigned
Feb 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Edward B Polakowski Jr., RN MSOM
Title
Administrator
Phone
(570) 271-0933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 02190501 PA Primary

Addresses

Primary practice location

273 Gotschal Rd
Danville, PA 17821

Mailing address

273 Gotschal Rd
Danville, PA 17821
Phone (570) 271-0933

Other identifiers 1

IdentifierTypeStateIssuer
1009435290001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073587796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 GOTSCHAL RD",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "17821",
            "telephone_number": "570-271-0933",
            "fax_number": "570-271-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 GOTSCHAL RD",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "17821",
            "telephone_number": "570-271-0933",
            "fax_number": "570-271-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA VALLEY HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLAKOWSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-271-0933",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RN MSOM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "02190501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009435290001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.