Active NPI
Home to Stay, Inc
- Home Health Agency
- Harrisburg, PA
National Provider Identifier
1184931941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- Proprietary
- Certified
- Apr 12, 2011
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2014567 | Home to Stay, Inc | Certificate of waiver | Oct 11, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Patti J Fife | 5% Or Greater Direct Ownership Interest | Dec 31, 2023 | 48% |
| Corporate Officer | Sep 20, 2010 | ||
| Corporate Director | Sep 20, 2010 | 50% | |
| W-2 Managing Employee | Sep 20, 2010 | ||
| Thomas H Flowers | 5% Or Greater Direct Ownership Interest | Dec 31, 2023 | 48% |
| Corporate Officer | Sep 20, 2010 | ||
| Corporate Director | Sep 20, 2010 | 50% | |
| W-2 Managing Employee | Nov 1, 2011 | ||
| Abby Fife | Corporate Officer | Jul 1, 2021 | |
| W-2 Managing Employee | Jul 1, 2021 | ||
| Operational/Managerial Control | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.