Organization Active NPI

Brethren Village Home Care

  • In Home Supportive Care Agency
  • Lancaster, PA
National Provider Identifier
1083019087
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
14463601 Issued in PA
Legal business name
BRETHREN VILLAGE HOME CARE
Practice address
3001 Lititz Pike
Lancaster, PA 17606-5093
Phone
(717) 581-4279
Fax
(717) 581-4407
NPI assigned
Nov 3, 2014
Last updated
Nov 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Mrs. Diane Marie Gergal, LPN
Title
Director
Phone
(717) 581-4279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 14463601 PA Primary

Addresses

Primary practice location

3001 Lititz Pike
Lancaster, PA 17606-5093

Mailing address

P.O.5093
3001 Lititz Pike,
Lancaster, PA 17606-5093
Phone (717) 581-4279

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1083019087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.5093",
            "address_2": "3001 LITITZ PIKE,",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176065093",
            "telephone_number": "717-581-4279",
            "fax_number": "717-581-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 LITITZ PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176065093",
            "telephone_number": "717-581-4279",
            "fax_number": "717-581-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETHREN VILLAGE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "GERGAL",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "717-581-4279",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "14463601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.