Active NPI
Criticare Lancaster, Inc
- Home Health Agency
- Lancaster, PA
National Provider Identifier
1285803437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 03250501
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Licensed Practical Nurse | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102186791 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
- Ownership
- Proprietary
- Certified
- Jun 23, 2008
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D1105671 | Criticare Lancaster Inc | Certificate of waiver | Sep 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kenneth O Spang | 5% Or Greater Indirect Ownership Interest | May 2, 2014 | 100% |
| Corporate Officer | May 2, 2014 | ||
| Corporate Director | May 4, 2014 | ||
| Ruthann Vanorden | W-2 Managing Employee | Jun 1, 2020 | 100% |
| Beth J Wallace | Corporate Director | Oct 7, 2014 | |
| Acs Acquisition Inc | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.