Active NPI
Homemakers of Western Penna, Inc.
- Home Health Agency
- Erie, PA
National Provider Identifier
1235100751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 003105
- Legal business name
- HOMEMAKERS OF WESTERN PENNA, INC.
- Practice address
- 2820 W 23Rd St
Suite #8 Ebco Park
Erie, PA 16506-2915 - Phone
- (814) 838-8696
- Fax
- (814) 835-2003
- NPI assigned
- Feb 1, 2006
- 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
- Mr. Carmen P Flitt
- Title
- VP&Cfo
- Phone
- (716) 838-6060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 003105 | PA | Primary |
Addresses
Primary practice location
2820 W 23Rd St
Suite #8 Ebco Park
Erie, PA 16506-2915
Mailing address
2465 Sheridan Dr
C/O Homemakers Upstate Group, Inc.
Tonawanda, NY 14150-9407
Phone (716) 838-6060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100732829003 | Medicaid | PA | |
| 1244 | Other | PA | HIGHMARK BLUE CROSS |
Other names 1
- CareGivers HealthCare Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100302000062 | PA | Part A Provider - Home Health Agency | 1557406618 | Practice locations: Erie, PA |
Home health agency certification: CCN 397760
- Legal name
- HOMEMAKERS OF WESTERN PENNA, INC.
- Doing business as
- CAREGIVERS HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 28, 2002
- Last certification
- Mar 15, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Mar 5, 1973 in PA
- Enrollment address
- 2820W 23Rd St 8
Erie, PA 16506-2989
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Caregivers Health Services
- Ownership
- Proprietary
- Certified
- Jan 28, 2002
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
2820 W 23rd St
Ste 8
Erie, PA 16506
Phone (716) 838-6060
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Bader P Reynolds | Corporate Officer | Jan 15, 2012 | 50% |
| Carmen P Flitt | 5% Or Greater Indirect Ownership Interest | Oct 23, 2015 | 100% |
| Corporate Officer | Sep 5, 1996 | 50% | |
| Corporate Director | Sep 5, 1996 | 100% | |
| Cheryl Visnoski | Operational/Managerial Control | Mar 4, 2016 | 100% |
| Homemakers Upstate Group, Inc. | 5% Or Greater Direct Ownership Interest | Mar 5, 1975 | 100% |
| Operational/Managerial Control | Mar 5, 1973 | 100% |
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Erie, PA
- NPI 1245667963
-
- Registered Nurse
- Erie, PA
- NPI 1043558711
-
- Licensed Practical Nurse
- Erie, PA
- NPI 1205176799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235100751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2465 SHERIDAN DR",
"address_2": "C/O HOMEMAKERS UPSTATE GROUP, INC.",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141509407",
"telephone_number": "716-838-6060",
"fax_number": "716-838-2913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 W 23RD ST",
"address_2": "SUITE #8 EBCO PARK",
"city": "ERIE",
"state": "PA",
"postal_code": "165062915",
"telephone_number": "814-838-8696",
"fax_number": "814-835-2003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMEMAKERS OF WESTERN PENNA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FLITT",
"authorized_official_first_name": "CARMEN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "VP&CFO",
"authorized_official_telephone_number": "716-838-6060",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "003105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100732829003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE CROSS",
"identifier": "1244",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CareGivers HealthCare Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.