Organization Active NPI

Dubois Home Care

  • Home Health Agency
  • Du Bois, PA
National Provider Identifier
1275916546
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
12033601 Issued in PA
Legal business name
DUBOIS HOME CARE
Practice address
284 S 8TH St
Du Bois, PA 15801-2835
Phone
(814) 375-3941
NPI assigned
Jul 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Authorized official

Name
Debra Harris
Title
Director
Phone
(814) 375-3941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 12033601 PA Primary

Addresses

Primary practice location

284 S 8TH St
Du Bois, PA 15801-2835

Mailing address

284 S 8TH St
Du Bois, PA 15801-2835
Phone (814) 375-3941

Other identifiers 1

IdentifierTypeStateIssuer
103006931-0001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1275916546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 S 8TH ST",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012835",
            "telephone_number": "814-375-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 S 8TH ST",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012835",
            "telephone_number": "814-375-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBOIS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "814-375-3941"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "12033601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103006931-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.