Organization Active NPI

Guthrie Home Care

Doing business as Guthrie Home Health

  • Home Health Agency
  • Towanda, PA
National Provider Identifier
1265438733
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
712005 Issued in PA
Legal business name
GUTHRIE HOME CARE
Doing business as
Guthrie Home Health
Practice address
421 Tomahawk Rd
Towanda, PA 18848-8327
Phone
(570) 265-3510
Fax
(570) 265-3570
NPI assigned
Jun 21, 2005
Last updated
Nov 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Mr. Jeffrey Stephen Jenkins, RN BSN
Title
Sr. Director of Operations
Phone
(570) 265-3510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 712005 PA Primary

Addresses

Primary practice location

421 Tomahawk Rd
Towanda, PA 18848-8327

Mailing address

421 Tomahawk Rd
Towanda, PA 18848-8327
Phone (570) 265-3510

Other identifiers 1

IdentifierTypeStateIssuer
1007533730001MedicaidPA

Other names 1

  • Guthrie 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
O20081230000095 PA Part A Provider - Home Health Agency 5698837672 Practice locations: Towanda, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265438733. Details of each certification follow.

Home health agency certification: CCN 397120A

Legal name
GUTHRIE HOME CARE
Doing business as
GUTHRIE HOME HEALTH
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 2000 in PA
Enrollment address
421 Tomahawk Rd
Towanda, PA 18848-8327

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Guthrie Home HealthCCN 397120
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
May 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory
Tax ID family
Guthrie Home Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

421 Tomahawk Rd
Towanda, PA 18848
Phone (570) 265-3510

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Jerry E Carr Individual Corporate DirectorBoard Member Jan 1, 2000
Richard M Robinson Individual Corporate DirectorBoard Member Jan 1, 2018
Kenneth Levitzky Individual Corporate Officer Jan 1, 2018
John Estep Individual Corporate DirectorBoard Member Jan 1, 2016
Debra Raupers Individual Corporate DirectorChief Nurse Executive May 3, 2023
Elizabeth Jean Kleber Individual Corporate OfficerVice President, Post-Acute Services Dec 19, 2022 100%
W-2 Managing EmployeeVice President, Post-Acute Services Dec 19, 2022 100%
Joseph Sawyer Individual Corporate Director Nov 1, 2023
Denise Ives Individual Corporate DirectorBoard Member Jan 1, 2014
Janeen Sheehe Individual Corporate DirectorBoard Member Jan 1, 2018
Janet Lewis Individual Corporate Officer Jan 1, 2018
Meade T Murtland Individual Corporate DirectorBoard Member Jan 10, 2018
Vance a Good Individual Corporate DirectorBoard Member Jan 1, 1994
Disa Annette Delauro Individual W-2 Managing EmployeeDirector of Patient Services May 5, 2015 100%
The Guthrie Clinic Organization, Sayre, PA Corporation, Non-profit Operational/Managerial Control Jun 30, 2011 100%
Edward L Jones Individual Corporate DirectorBoard Member Jan 1, 1999

Owners & managing parties with NPI records 2

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

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1265438733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 TOMAHAWK RD",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188488327",
            "telephone_number": "570-265-3510",
            "fax_number": "570-265-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 TOMAHAWK RD",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188488327",
            "telephone_number": "570-265-3510",
            "fax_number": "570-265-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTHRIE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "SR. DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "570-265-3510",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "712005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007533730001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guthrie Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guthrie Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towanda, PA

Sources for this page

Verify at the official NPI Registry.