Organization Active NPI

Mid Penn Homecare LLC

  • Home Health Agency
  • Carlisle, PA
National Provider Identifier
1164916995
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MID PENN HOMECARE LLC
Practice address
1514 Commerce Ave Ste 203
Carlisle, PA 17015-9161
Phone
(717) 243-5473
Fax
(717) 620-3406
NPI assigned
Jun 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Authorized official

Name
Michelle Lisk
Title
Owner
Phone
(717) 243-5473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1514 Commerce Ave Ste 203
Carlisle, PA 17015-9161

Mailing address

1514 Commerce Ave Ste 203
Carlisle, PA 17015-9161
Phone (717) 243-5473

Other names 1

  • Synergy HomeCare Doing business as

National Provider Directory

National Provider Directory

Locations

1514 Commerce Ave
Ste 203
Carlisle, PA 17015
Phone (717) 243-5473

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1164916995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 COMMERCE AVE STE 203",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159161",
            "telephone_number": "717-243-5473",
            "fax_number": "717-620-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 COMMERCE AVE STE 203",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159161",
            "telephone_number": "717-243-5473",
            "fax_number": "717-620-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID PENN HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "LISK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-243-5473"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.