NPIMap

Organization Active NPI

Bethlen Home of the Hungarian Reformed Federation of America

  • Home Health Agency
  • Ligonier, PA
National Provider Identifier
1154330447
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BETHLEN HOME OF THE HUNGARIAN REFORMED FEDERATION OF AMERICA
Practice address
135 Kalassay Dr
Ligonier, PA 15658-8726
Phone
(724) 238-2613
Fax
(724) 238-2614
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Tammy Young
Title
Cfo
Phone
(724) 352-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

135 Kalassay Dr
Ligonier, PA 15658-8726

Mailing address

135 Kalassay Dr
Ligonier, PA 15658-8726

Other identifiers 1

IdentifierTypeStateIssuer
0007470600004MedicaidPA

Other names 1

  • Concordia Home Health of Bethlen Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060817000245 PA Part A Provider - Home Health Agency 2860495686 Practice locations: Ligonier, PA

Home health agency certification: CCN 398058

Legal name
BETHLEN HOME OF THE HUNGARIAN REFORMED FEDERATION OF AMERICA
Doing business as
CONCORDIA HOME HEALTH OF BETHLEN
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 6, 2007
Last certification
Jul 16, 2021
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Apr 8, 1929 in PA
Enrollment address
135 Kalassay Dr
Ligonier, PA 15658-8726

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Concordia Home Health of BethlenCCN 398058
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Feb 6, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2286603Concordia Home Health of Bethlen135 Kalassay Drive, Ligonier, PA 15658Certificate of waiverJul 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bethlen Comm Home Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

135 Kalassay Dr
Ligonier, PA 15658
Phone (724) 238-2613

618 W Main St
Ste A
Ligonier, PA 15658

66 Carey School Rd
Ligonier, PA 15658
Phone (724) 238-6711

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Erica Grubesky Individual Corporate DirectorBoard Member Apr 5, 2023
Leonard Quimby Individual Corporate DirectorBoard Member Jan 1, 2026
Michael Joseph Falbo Individual Corporate OfficerSecretary Apr 5, 2023
Corporate DirectorBoard Member Apr 5, 2023
Holly Brown Vareha Individual Corporate OfficerTreasurer Apr 5, 2023
Corporate DirectorBoard Member Apr 5, 2023
Kristen Fuhrer Individual Corporate DirectorBoard Member Jan 1, 2026
Kim Kramer Individual Corporate DirectorBoard Member Jan 1, 2021
Martin Trettel Individual Corporate DirectorBoard Member Apr 5, 2023
Tammy Young Individual Corporate OfficerChief Financial Officer Apr 3, 2023
Corporate DirectorBoard Member Apr 5, 2023
Concordia Care Network Organization, Cabot, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Apr 3, 2023 100%
Brian Hortert Individual Corporate DirectorBoard Member Apr 5, 2023
William P Malloy Individual Corporate DirectorBoard Vice Chairman Apr 5, 2023
Judit Mayer Individual Corporate DirectorBoard Member Jan 1, 2021
Thomas Burian Individual Corporate DirectorBoard Member Nov 1, 2024
Misty Ingram Individual Corporate DirectorBoard Member Apr 5, 2023
Operational/Managerial ControlExecutive Director Jan 29, 2024

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 14

Practitioners & affiliated clinicians

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1154330447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 KALASSAY DR",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156588726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 KALASSAY DR",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156588726",
            "telephone_number": "724-238-2613",
            "fax_number": "724-238-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHLEN HOME OF THE HUNGARIAN REFORMED FEDERATION OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "724-352-6200"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007470600004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concordia Home Health of Bethlen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ligonier, PA

Sources for this page

Verify at the official NPI Registry.