Organization Active NPI

Columbia Montour Home Health Services Vna, Inc.

  • Home Health Agency
  • Bloomsburg, PA
National Provider Identifier
1366448268
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
708605 Issued in PA
Legal business name
COLUMBIA MONTOUR HOME HEALTH SERVICES VNA, INC.
Practice address
410 Glenn Ave
Suite 200
Bloomsburg, PA 17815-1200
Phone
(570) 784-1723
Fax
(570) 784-8512
NPI assigned
Jun 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Mrs. Jane Gittler, RN
Title
Ceo
Phone
(570) 784-1723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 708605 PA Primary

Addresses

Primary practice location

410 Glenn Ave
Suite 200
Bloomsburg, PA 17815-1200

Mailing address

410 Glenn Ave
Suite 200
Bloomsburg, PA 17815-1200
Phone (570) 784-1723

Other identifiers 3

IdentifierTypeStateIssuer
397086OtherPABLUE CROSS HOME HEALTH
1007466820007MedicaidPA
1643OtherPABLUE SHIELD HOME HEALTH

National Provider Directory

National Provider Directory

Locations

410 Glen Ave
Ste 200
Bloomsburg, PA 17815
Phone (570) 784-1723

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1366448268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 GLENN AVE",
            "address_2": "SUITE 200",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151200",
            "telephone_number": "570-784-1723",
            "fax_number": "570-784-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 GLENN AVE",
            "address_2": "SUITE 200",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151200",
            "telephone_number": "570-784-1723",
            "fax_number": "570-784-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA MONTOUR HOME HEALTH SERVICES VNA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "GITTLER",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-784-1723",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "708605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS HOME HEALTH",
            "identifier": "397086",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007466820007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD HOME HEALTH",
            "identifier": "1643",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.