Organization Active NPI

Homemakers of Western Penna, Inc.

  • Home Health Agency
  • Erie, PA
National Provider Identifier
1235100751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
003105 Issued in PA
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

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. Carmen P Flitt
Title
VP&Cfo
Phone
(716) 838-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100732829003MedicaidPA
1244OtherPAHIGHMARK BLUE CROSS

Other names 1

  • CareGivers HealthCare Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 ServicesCCN 397760
Ownership
Proprietary
Certified
Jan 28, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Bader P Reynolds Individual Corporate OfficerCoo Jan 15, 2012 50%
Carmen P Flitt Individual 5% Or Greater Indirect Ownership InterestCeo/Cfo Oct 23, 2015 100%
Corporate OfficerCeo/Cfo Sep 5, 1996 50%
Corporate DirectorChairman of the Board of Directors Sep 5, 1996 100%
Cheryl Visnoski Individual Operational/Managerial ControlAdministrator Mar 4, 2016 100%
Homemakers Upstate Group, Inc. Organization, Tonawanda, NY Corporation 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.

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

Verify at the official NPI Registry.