Community Nursing Service of Clinton County Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COMMUNITY NURSING SERVICE OF CLINTON COUNTY INC

Practice address

124 Woodward Ave
Lock Haven, PA 17745-1634

Phone

(570) 748-8511

Fax

(570) 748-3599

NPI assigned

Oct 5, 2005

Last updated

Jul 21, 2022By 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

Mrs. M Ellen Weaver, RN

Title

Regional Director

Phone

(570) 748-8511

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255328191. Details of each certification follow.

• CCN 397029 Home health agency · Active · Details

Home health agency certification: CCN 397029

Legal name

COMMUNITY NURSING SERVICE OF CLINTON COUNTY INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 1, 1966

Last certification

Jan 22, 2019

Ownership / control type

Non-Profit

Organization structure

CorporationNon-profit

Incorporated

Jan 1, 1920 in PA

Enrollment address

124 Woodward Ave
Lock Haven, PA 17745-1634

Other NPIs with the same Medicare PAC ID 1

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

• Community Nursing Service of Clinton County, Inc.

  • Home Health Agency
  • Lock Haven, PA
  • NPI 1952379067

  7012814064

  Same PAC ID

Listed as

Community Nursing Service of Clinton Co IncCCN 397029 · All quality measures

Overall star rating

3.5 of 5

Ownership

Non-Profit

Certified

Jul 1, 1966

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 8

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

Practitioners 2

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.

• Diane Daddario

  • Adult Health Nurse Practitioner
  • Williamsport, PA
  • NPI 1962769851
  Medicare reassignment NPD
• Cynthia Marie Roadarmel, CRNP

  • Nurse Practitioner
  • Danville, PA
  • NPI 1952550782
  Medicare reassignment NPD

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255328191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WOODWARD AVE",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177451634",
            "telephone_number": "570-748-8511",
            "fax_number": "570-748-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WOODWARD AVE",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177451634",
            "telephone_number": "570-748-8511",
            "fax_number": "570-748-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY NURSING SERVICE OF CLINTON COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "M ELLEN",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "570-748-8511",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinton Hospital Corporation (Lock Haven Hospital)
• Clinton Hospital Corporation (Lock Haven Hosp - Anesthesia)
• Mark Allen Clukey, D.C.
• Kerri Collier
• Cheryl Bethany Colomb, PA-S
• Community Nursing Service of Clinton County, Inc.
• Courtney Condiracci, MA
• Ghana Cornelius
• Kimberly Cox, PHARMD RPH
• Laura Crawford, RDH, PHDHP

• Home Health Agency in Lock Haven, PA
• Providers in Lock Haven, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.