NPIMap

Organization Active NPI

Fulton County Medical Center

Doing business as Team Home Health

  • Home Health Agency
  • McConnellsburg, PA
National Provider Identifier
1255302402
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
061902 Issued in PA
Legal business name
FULTON COUNTY MEDICAL CENTER
Doing business as
Team Home Health
Practice address
214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Phone
(717) 485-2880
Fax
(717) 485-6105
NPI assigned
Jan 27, 2006
Last updated
Jul 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Kimberly S Meyers
Title
Manager
Phone
(717) 485-3155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 061902 PA Primary

Addresses

Primary practice location

214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559

Mailing address

214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Phone (717) 485-2880

Other practice location 1

11559 William Penn Hwy Ste 1
Huntingdon, PA 16652-6847
Phone (814) 506-8529

Other identifiers 3

IdentifierTypeStateIssuer
1526OtherPAHIGHMARK HOME HEALTH
1007427630014MedicaidPA
397698OtherPACAPITAL BLUE HOME CARE

Other names 1

  • Team Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070108000332 PA Part A Provider - Home Health Agency 6406841295 Practice locations: Huntingdon, PA; MC Connellsburg, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255302402. Details of each certification follow.

Home health agency certification: CCN 397698

Legal name
FULTON COUNTY MEDICAL CENTER
Doing business as
TEAM HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 5, 1996
Last certification
Dec 18, 2020
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Aug 18, 1947 in PA
Enrollment address
214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Team Home HealthCCN 397698 · All quality measures
Overall star rating
1.5 of 5
Ownership
Non-Profit
Certified
Dec 5, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Fulton County Medical C6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

11559 William Penn Hwy
Huntingdon, PA 16652

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Mary Wright Individual Corporate DirectorBoard of Directors, Member Jan 1, 2018
Sean Fraker Individual Corporate DirectorMember, Board of Directors Jan 1, 2020
Tina R Gress Individual Corporate DirectorMember, Board of Directors Jan 1, 2019
Douglas D Stern Individual Corporate DirectorBoard of Directors, Member Jan 1, 2017
Timothy Hann Individual Corporate DirectorBoard of Directors, Treasurer Jan 1, 2014
Virginia Palmer Individual Corporate DirectorBoard of Directors, Member Jan 1, 2017
Michael Makosky Individual Corporate OfficerChief Executive Officer Jun 25, 2018
W-2 Managing EmployeeChief Executive Officer Jun 25, 2018
Scott Alexander Individual Corporate DirectorBoard of Directors, Vice Chair Jan 1, 2017
Mark Mellott Individual Corporate DirectorBoard of Directors, Member Jan 1, 2017
Lisa Daniels Individual Corporate DirectorBoard of Directors, Secretary Jan 1, 2018
Frank L D'Amelio Individual Corporate DirectorBoard of Directors, Member Jan 1, 2012
Penelope Shives Individual Corporate DirectorBoard of Directors, Secretary Jan 1, 2017
Kimberly Slee Individual Corporate OfficerChief Operating Officer Oct 6, 2017

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 39

Affiliated clinicians 10

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": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1255302402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 PEACH ORCHARD RD",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "172338559",
            "telephone_number": "717-485-2880",
            "fax_number": "717-485-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 PEACH ORCHARD RD",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "172338559",
            "telephone_number": "717-485-2880",
            "fax_number": "717-485-6105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11559 William Penn Hwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Huntingdon",
            "state": "PA",
            "postal_code": "166526847",
            "country_code": "US",
            "telephone_number": "814-506-8529",
            "fax_number": "814-506-8529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FULTON COUNTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "717-485-3155"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "061902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK HOME HEALTH",
            "identifier": "1526",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007427630014",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE HOME CARE",
            "identifier": "397698",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Team Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McConnellsburg, PA

Sources for this page

Verify at the official NPI Registry.