Homewell Senior Care Westmoreland County LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

16183601 Issued in PA

Legal business name

HOMEWELL SENIOR CARE WESTMORELAND COUNTY LLC

Practice address

4 S 4TH St
Youngwood, PA 15697-8202

Phone

(724) 635-0767

Fax

(724) 635-0770

NPI assigned

Dec 29, 2014

Last updated

Dec 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca S Kissner

Title

Owner

Phone

(724) 635-0767

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1245628205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S 4TH ST",
            "city": "YOUNGWOOD",
            "state": "PA",
            "postal_code": "156978202",
            "telephone_number": "724-635-0767",
            "fax_number": "724-635-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S 4TH ST",
            "city": "YOUNGWOOD",
            "state": "PA",
            "postal_code": "156978202",
            "telephone_number": "724-635-0767",
            "fax_number": "724-635-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEWELL SENIOR CARE WESTMORELAND COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "KISSNER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-635-0767"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "PA",
            "license": "16183601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF LICENSURE",
            "identifier": "16183601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fonda Rondelle Frazier I
• Heather Nicole Grove
• Gregory S Hatalowich, DPM
• Mary A Hayden, RPH
• Home Health Services by the Thorne Group Inc
• Homewell Senior Care-Westmoreland County (HomeWell Senior Care)
• Innovative Wellness and Weight Loss Center
• Stephen Kelly, D.C.
• Larry D Long, DMD
• Michel Luise Maiers, O.D.

• Personal Care Attendant in Youngwood, PA
• Providers in Youngwood, PA by specialty
• Personal Care Attendant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.