NPIMap

Organization Active NPI

Penn Highlands Home Medical Equipment LLC

Doing business as PH HME Kane

  • Community/Retail Pharmacy
  • Kane, PA
National Provider Identifier
1306094206
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481849 Issued in PA
Legal business name
PENN HIGHLANDS HOME MEDICAL EQUIPMENT LLC
Doing business as
PH HME Kane
PH HME LLC
PH HME Pharmacy5 more in Other names
Practice address
190 N Fraley St
Suite 2
Kane, PA 16735-1165
Phone
(814) 837-8500
Fax
(814) 837-8501
NPI assigned
Sep 4, 2008
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PENN HIGHLANDS HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Michelle M Bennett
Title
Director Retail Pharmacy Operations
Phone
(814) 299-7553

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP481849 PA Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

190 N Fraley St
Suite 2
Kane, PA 16735-1165

Mailing address

4 Railroad St
Saint Marys, PA 15857-1729
Phone (814) 834-3017

Other identifiers 2

IdentifierTypeStateIssuer
1007711390007MedicaidPA
2116840OtherPK

Other names 8

  • PH HME Kane Doing business as
  • PH HME LLC Doing business as
  • PH HME Pharmacy Doing business as
  • PH HME Pharmacy & Home Medical Doing business as
  • Penn Highlands Home Medical Equipment Doing business as
  • SMP HOME MEDICAL KANE Doing business as
  • SMP PHARMACY Doing business as
  • SMP PHARMACY AND HOME MEDICAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930041872 PA DME Supplier - PharmacyDME Supplier - Orthotic PersonnelDME Supplier - Oxygen & Equipment 8325100803 Practice locations: Kane, PA

Other NPIs with the same Medicare PAC ID 4

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

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Penn Highlands Home Medical Equipme190 N Fraley St, Kane, PA 16735-1165(814) 837-8500 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Hospit… Accepts assignmentParticipating since Sep 17, 2008

National Provider Directory

National Provider Directory
Part of
Penn Highlands Healthcare

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1306094206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RAILROAD ST",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158571729",
            "telephone_number": "814-834-3017",
            "fax_number": "814-834-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N FRALEY ST",
            "address_2": "SUITE 2",
            "city": "KANE",
            "state": "PA",
            "postal_code": "167351165",
            "telephone_number": "814-837-8500",
            "fax_number": "814-837-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN HIGHLANDS HOME MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN HIGHLANDS HEALTHCARE",
        "enumeration_date": "2008-09-04",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR RETAIL PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "814-299-7553"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481849",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007711390007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2116840",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PH HME Kane",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PH HME LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PH HME Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PH HME Pharmacy & Home Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Penn Highlands Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMP HOME MEDICAL KANE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMP PHARMACY AND HOME MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMP PHARMACY AND HOME MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kane, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.