Organization Active NPI

Patriot Home Care, Inc

  • Home Health Agency
  • Harrisburg, PA
National Provider Identifier
1316413412
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PATRIOT HOME CARE, INC
Practice address
208 N 3Rd St Ste 200
Harrisburg, PA 17101-1513
Phone
(877) 535-5550
NPI assigned
Oct 17, 2018
Last updated
Oct 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Authorized official

Name
Volodymir Matkivski
Title
Director
Phone
(877) 535-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

208 N 3Rd St Ste 200
Harrisburg, PA 17101-1513

Mailing address

5700 N Broad St Ste 3
Philadelphia, PA 19141-2324
Phone (877) 535-5550

Other identifiers 1

IdentifierTypeStateIssuer
103000160-0004MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Patriot Home Care Inc4 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

208 N 3rd St
Ste 200
Harrisburg, PA 17101
Phone (877) 535-5550

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1316413412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 N BROAD ST STE 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412324",
            "telephone_number": "877-535-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N 3RD ST STE 200",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171011513",
            "telephone_number": "877-535-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "MATKIVSKI",
        "authorized_official_first_name": "VOLODYMIR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-535-5550"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103000160-0004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.