NPIMap

Organization Active NPI

Home Health Care Professionals, Inc.

  • Home Health Agency
  • Olyphant, PA
National Provider Identifier
1235136805
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME HEALTH CARE PROFESSIONALS, INC.
Practice address
520 Burke Byp
Olyphant, PA 18447-1805
Phone
(570) 876-2900
Fax
(570) 382-3568
NPI assigned
Jun 28, 2005
Last updated
May 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Mrs. Maria Lynn Davis, RN
Title
Director/Owner
Phone
(570) 650-9763

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 39Q7662001 PA
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

520 Burke Byp
Olyphant, PA 18447-1805

Mailing address

520 Burke Byp
Olyphant, PA 18447-1805
Phone (570) 876-2900

Other identifiers 2

IdentifierTypeStateIssuer
001582492MedicaidPA
01582492MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050513000326 PA Part A Provider - Home Health Agency 0244271864 Practice locations: Olyphant, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235136805. Details of each certification follow.

Home health agency certification: CCN 397662

Legal name
HOME HEALTH CARE PROFESSIONALS, INC.
Doing business as
HOME HEALTH CARE PROFESSIONALS & HOSPICE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 28, 1996
Last certification
Sep 29, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 27, 1995 in PA
Enrollment address
520 Burke Byp
Olyphant, PA 18447-1805

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Health Care ProfessionalsCCN 397662 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Feb 28, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Home Health Care Professionals2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Maria L. Davis Individual 5% Or Greater Direct Ownership Interest Jun 18, 2019 100%
Corporate OfficerPresident Jun 18, 2019
Corporate DirectorOwner, President May 31, 2005
W-2 Managing EmployeeDirector of Operations and Patie May 31, 2005
Operational/Managerial ControlDirector of Operations and Patie Jun 18, 2019

Practitioners & affiliated clinicians

Affiliated clinicians 12

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1235136805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 BURKE BYP",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "184471805",
            "telephone_number": "570-876-2900",
            "fax_number": "570-382-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 BURKE BYP",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "184471805",
            "telephone_number": "570-876-2900",
            "fax_number": "570-382-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH CARE PROFESSIONALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "570-650-9763",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "39Q7662001",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001582492",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01582492",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olyphant, PA

Sources for this page

Verify at the official NPI Registry.