Organization Active NPI

Home to Stay, Inc

  • Home Health Agency
  • Harrisburg, PA
National Provider Identifier
1184931941
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME TO STAY, INC
Practice address
5775 Allentown Blvd
Harrisburg, PA 17112-4049
Phone
(717) 545-1293
Fax
(717) 545-3539
NPI assigned
Aug 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Mrs. Patti Jane Fife
Title
Administrator
Phone
(717) 545-1293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5775 Allentown Blvd
Harrisburg, PA 17112-4049

Mailing address

5775 Allentown Blvd
Harrisburg, PA 17112-4049
Phone (717) 545-1293

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101029000983 PA Part A Provider - Home Health Agency 6608060017 Practice locations: Chambersburg, PA; Harrisburg, PA

Home health agency certification: CCN 398159

Legal name
HOME TO STAY, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 12, 2011
Last certification
Jun 20, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 9, 2010 in PA
Enrollment address
5775 Allentown Blvd
Harrisburg, PA 17112-4049

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home to Stay, IncCCN 398159
Ownership
Proprietary
Certified
Apr 12, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

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
39D2014567Home to Stay, Inc5775 Allentown Blvd, Harrisburg, PA 17112Certificate of waiverOct 11, 2026

National Provider Directory

National Provider Directory

Locations

122 Chambers Hill Dr
Chambersburg, PA 17201
Phone 71766026203000

5775 Allentown Blvd
Harrisburg, PA 17112
Phone (717) 545-1293

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Patti J Fife Individual 5% Or Greater Direct Ownership InterestPresident / Administrator Dec 31, 2023 48%
Corporate OfficerPresident Sep 20, 2010
Corporate DirectorBoard Member Sep 20, 2010 50%
W-2 Managing EmployeePresident / Administrator Sep 20, 2010
Thomas H Flowers Individual 5% Or Greater Direct Ownership InterestV.P. / Cfo Dec 31, 2023 48%
Corporate OfficerV.P. / Cfo Sep 20, 2010
Corporate DirectorBoard Member Sep 20, 2010 50%
W-2 Managing EmployeeV.P. / Cfo Nov 1, 2011
Abby Fife Individual Corporate OfficerCoo Jul 1, 2021
W-2 Managing EmployeeCoo Jul 1, 2021
Operational/Managerial ControlCoo Jul 1, 2021

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1184931941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 ALLENTOWN BLVD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171124049",
            "telephone_number": "717-545-1293",
            "fax_number": "717-545-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 ALLENTOWN BLVD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171124049",
            "telephone_number": "717-545-1293",
            "fax_number": "717-545-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME TO STAY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "FIFE",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "717-545-1293",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.