Active NPI
Diakon Home Care Services, LLC
Doing business as Diakon Home Health
- Home Health Agency
- Hazleton, PA
National Provider Identifier
1114985975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 02340501
- Legal business name
- DIAKON HOME CARE SERVICES, LLC
- Doing business as
- Diakon Home Health
- Practice address
- 1201 N Church St
Suite 403, Building B
Hazleton, PA 18202-1453 - Phone
- (570) 453-5200
- NPI assigned
- May 2, 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
- Ms. Susan R McHugh
- Title
- Director, Resident Financial Serv
- Phone
- (717) 795-0309
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 02340501 | PA | Primary |
Addresses
Primary practice location
1201 N Church St
Suite 403, Building B
Hazleton, PA 18202-1453
Mailing address
960 Century Dr
Mechanicsburg, PA 17055-4374
Phone (717) 795-0309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012097480001 | Medicaid | PA |
Other names 1
- Diakon Home Health
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Buffalo Valley Lutheran Village
- Skilled Nursing Facility
- Lewisburg, PA
- NPI 1033176557
Member Of
Locations
421 Chew St
Fl Fourth
Allentown, PA 18102
Phone (610) 663-3263
5000 W Tilghman St
Ste 157
Allentown, PA 18104
Phone (610) 391-2300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323993600000",
"number": "1114985975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 CENTURY DR",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554374",
"telephone_number": "717-795-0309",
"fax_number": "717-795-0453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N CHURCH ST",
"address_2": "SUITE 403, BUILDING B",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182021453",
"telephone_number": "570-453-5200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAKON HOME CARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-02",
"last_updated": "2011-12-16",
"status": "A",
"authorized_official_last_name": "MCHUGH",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DIRECTOR, RESIDENT FINANCIAL SERV",
"authorized_official_telephone_number": "717-795-0309",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "02340501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012097480001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Diakon Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.