Active NPI
Brethren Village Home Care
- In Home Supportive Care Agency
- Lancaster, PA
National Provider Identifier
1083019087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 14463601
- 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, 2014
- 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
- Mrs. Diane Marie Gergal, LPN
- Title
- Director
- Phone
- (717) 581-4279
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.