NPIMap

Organization Active NPI

Lehigh Valley Hospital Schuylkill

  • Home Health Agency
  • Pottsville, PA
National Provider Identifier
1457350548
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
421001 Issued in PA
Legal business name
LEHIGH VALLEY HOSPITAL SCHUYLKILL
Practice address
420 S Jackson St
Pottsville, PA 17901-3625
Phone
(570) 621-5000
Fax
(570) 622-8221
NPI assigned
Jul 20, 2005
Last updated
Apr 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Robert Thomas
Title
Regional Cfo
Phone
(484) 884-0901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 421001 PA Primary

Addresses

Primary practice location

420 S Jackson St
Pottsville, PA 17901-3625

Mailing address

420 S Jackson St
Pottsville, PA 17901-3625
Phone (570) 621-5000

Other identifiers 3

IdentifierTypeStateIssuer
1499OtherPAHIGHMARK/BLUE SHIELD
39-7214OtherPACAPITAL BLUE CROSS
100760725-0010MedicaidPA

Other names 1

  • The Pottsville Hospital and Warne Clinic (Home Health) Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081027000445 PA Part A Provider - Home Health Agency 4183525959 Practice locations: Saint Clair, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457350548. Details of each certification follow.

Home health agency certification: CCN 397214

Legal name
LEHIGH VALLEY HOSPITAL - SCHUYLKILL
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 19, 1984
Last certification
Jan 6, 2017
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Apr 1, 1946 in PA
Enrollment address
502 S 2ND St
Ste B
Saint Clair, PA 17970-1377

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lehigh Valley Health NetworkCCN 397214 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Jan 19, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Pottsville Hosp Path10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Lehigh Valley Health Network Organization, Allentown, PA Non-profit 5% Or Greater Direct Ownership Interest Sep 16, 2016 100%
Edna Smith Individual Corporate OfficerTreasurer Effective 07/03/2013, Jul 1, 2013
Corporate DirectorTreasurer Effective 07/01/2013, Jul 1, 2012
Thomas Marchozzi Individual Corporate OfficerAssistant Treasurer Effect 1/1/2020 Jan 1, 2020
Darnell Furer Individual Corporate Director Jan 30, 2017
Amrit P Narula Individual Corporate Director Jul 1, 2015
Timothy Twardzik Individual Corporate DirectorSecretary Sep 1, 2012
William Jr Kirwan Individual Corporate OfficerChair Sep 26, 2016
Allison Miller Individual W-2 Managing Employee Nov 1, 2024
Franklin K Schoeneman Individual Corporate OfficerVice Chairman N/a 3/1/2019 Aug 1, 2008
Corporate Director Aug 1, 2008
Debra Blaschak Individual Corporate OfficerSecretary N/a Effective 4/1/2019 Mar 1, 2019
Corporate Director Aug 1, 2008
Thomas Kennedy Individual Corporate Director Sep 16, 2016
Richard Gonzalez Individual Corporate Director Jan 1, 2015
Anthony Baran Individual Corporate OfficerChairman N/a Effective 9/25/2016 Sep 26, 2016
Corporate Director Aug 1, 2008
Jeanne Porter Individual Corporate DirectorVice Chair Sep 1, 2012
Stephen Molitoris Individual W-2 Managing EmployeeVP, Reimbursement & Revenue Jan 1, 2019
William Reppy Individual Corporate OfficerPresident and Ceo Sep 16, 2016

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • CHP-LVHN JV, LLC

    dba Lehigh Valley Hospital Macungie

    • General Acute Care Hospital
    • Macungie, PA
    • NPI 1659150514

    Lehigh Valley Health Network

    CMS ownership

Practitioners & affiliated clinicians

Affiliated clinicians 32

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1457350548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S JACKSON ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013625",
            "telephone_number": "570-621-5000",
            "fax_number": "570-622-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S JACKSON ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013625",
            "telephone_number": "570-621-5000",
            "fax_number": "570-622-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH VALLEY HOSPITAL SCHUYLKILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "REGIONAL CFO",
        "authorized_official_telephone_number": "484-884-0901"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "421001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK/BLUE SHIELD",
            "identifier": "1499",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "39-7214",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100760725-0010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pottsville Hospital and Warne Clinic (Home Health)",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "The Pottsville Hospital and Warne Clinic (Home Health)",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.