Active NPI
Susquehanna Valley Home Health Care
- Home Health Agency
- Danville, PA
National Provider Identifier
1073587796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 02190501
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009435290001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Dallas, TX
- NPI 1023011210
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.