Organization Active NPI

Geisinger Community Health Services

Doing business as Geisinger Home Care

  • Home Health Agency
  • Danville, PA
National Provider Identifier
1164462404
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
771805 Issued in PA
Legal business name
GEISINGER COMMUNITY HEALTH SERVICES
Doing business as
Geisinger Home Care
Practice address
109 Woodbine LN
Danville, PA 17821-9118
Phone
(570) 271-5598
Fax
(570) 271-5597
NPI assigned
Jun 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dean Q Lin
Title
Vice President
Phone
(570) 271-8120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 771805 PA Primary

Addresses

Primary practice location

109 Woodbine LN
Danville, PA 17821-9118

Mailing address

100 N Academy Ave
M.C. 24-11
Danville, PA 17822-9800
Phone (570) 271-5598

Other identifiers 13

IdentifierTypeStateIssuer
136242OtherPAHEALTH AMERICA PROVIDER #
43018OtherPAGEISINGER HEALTH PLAN HMO
1000038000013MedicaidPA
5417705OtherPAAETNA PROVIDER #
111008OtherPAUNISON HEALTH PLAN PROVID
397718OtherPAHEALTHY BEGINNING PLUS PR
397718OtherPAKEYSTONE HEALTH PLAN CENT
1820OtherPAHIGHMARK BS PROVIDER #
397718OtherPACAPTIAL BLUE CROSS PROVID
397718OtherPAAUTO PROVIDER #
397718OtherPABCNEPA PROVIDER #
1508343OtherPAGATEWAY HEALTH PLAN PROVI
397718OtherPABLACK LUNG PROVIDER #

Other names 1

  • Geisinger Home Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

100 N Academy Ave
#2411
Danville, PA 17822

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Apr 1, 2019 Change of OwnershipThis provider was the seller Geisinger Home HealthCCN 397718, PA, NPI 1740747088

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164462404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "address_2": "M.C. 24-11",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "570-271-5598",
            "fax_number": "570-271-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WOODBINE LN",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178219118",
            "telephone_number": "570-271-5598",
            "fax_number": "570-271-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEISINGER COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "570-271-8120",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "771805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA PROVIDER #",
            "identifier": "136242",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN HMO",
            "identifier": "43018",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000038000013",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "5417705",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN PROVID",
            "identifier": "111008",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY BEGINNING PLUS PR",
            "identifier": "397718",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN CENT",
            "identifier": "397718",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS PROVIDER #",
            "identifier": "1820",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPTIAL BLUE CROSS PROVID",
            "identifier": "397718",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUTO PROVIDER #",
            "identifier": "397718",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCNEPA PROVIDER #",
            "identifier": "397718",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN PROVI",
            "identifier": "1508343",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG PROVIDER #",
            "identifier": "397718",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geisinger Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.