Organization Active NPI

Criticare Lancaster, Inc

  • Home Health Agency
  • Lancaster, PA
National Provider Identifier
1285803437
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
03250501 Issued in PA
Legal business name
CRITICARE LANCASTER, INC
Practice address
2135 Noll Dr Ste a
Lancaster, PA 17603-7602
Phone
(717) 844-6300
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Authorized official

Name
Mr. Ken Spang
Title
President
Phone
(717) 844-6300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X
Home Health Agency 251E00000X 03250501 PA Primary

Addresses

Primary practice location

2135 Noll Dr Ste a
Lancaster, PA 17603-7602

Mailing address

2135 Noll Dr Ste a
Lancaster, PA 17603-7602
Phone (717) 844-6300

Other identifiers 1

IdentifierTypeStateIssuer
102186791MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080327000487 PA Part A Provider - Home Health Agency 6800972035 Practice locations: Lancaster, PA

Home health agency certification: CCN 398081

Legal name
CRITICARE LANCASTER, INC
Doing business as
CRITICARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 23, 2008
Last certification
May 1, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 11, 2007 in PA
Enrollment address
2135 Noll Dr
Ste a
Lancaster, PA 17603-7602

Care Compare: Home health agency

Medicare Care Compare
Listed as
Criticare Lancaster, Inc.CCN 398081
Ownership
Proprietary
Certified
Jun 23, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1105671Criticare Lancaster Inc2135 Noll Drive, Suite a, Lancaster, PA 17603Certificate of waiverSep 27, 2027

National Provider Directory

National Provider Directory

Locations

2135 Noll Dr
Ste A
Lancaster, PA 17603
Phone (717) 844-6300

3710 Hempland Rd
Ste 2
Mountville, PA 17554

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Kenneth O Spang Individual 5% Or Greater Indirect Ownership InterestOwner May 2, 2014 100%
Corporate OfficerPresident/Treasurer/Secretary May 2, 2014
Corporate DirectorBoard of Directors May 4, 2014
Ruthann Vanorden Individual W-2 Managing EmployeeExecutive Director Jun 1, 2020 100%
Beth J Wallace Individual Corporate DirectorBoard of Director Oct 7, 2014
Acs Acquisition Inc Organization, Worcester, PA For-profit 5% Or Greater Direct Ownership Interest May 2, 2014 100%

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1285803437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 NOLL DR STE A",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176037602",
            "telephone_number": "717-844-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 NOLL DR STE A",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176037602",
            "telephone_number": "717-844-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITICARE LANCASTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "SPANG",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-844-6300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "03250501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102186791",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.