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Organization Active NPI

DLP Conemaugh Memorial Medical Center LLC

Doing business as Conemaugh Home Health

  • Home Health Agency
  • Johnstown, PA
National Provider Identifier
1457354672
Registry record updated May 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
740605 Issued in PA
Legal business name
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC
Doing business as
Conemaugh Home Health
Practice address
315 Locust St
First Floor Suite
Johnstown, PA 15901-1651
Phone
(814) 534-7500
Fax
(814) 534-7501
NPI assigned
May 23, 2005
Last updated
May 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2017

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

Authorized official

Name
Victor E. Giovanetti
Title
President
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 740605 PA Primary

Addresses

Primary practice location

315 Locust St
First Floor Suite
Johnstown, PA 15901-1651

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-4536
Phone (615) 920-7000

Other identifiers 7

IdentifierTypeStateIssuer
0785OtherPAHIGHMARK BLUE CROSS
PO08337OtherPACHAMPUS ID
1011895OtherPAGATEWAY / MOM MATTERS
1007568490034MedicaidPA
030014300OtherPAFEDERAL BLACK LUNG ID
603577600OtherPAOFFICE WORKERS COMP ID
1329770OtherPAUMWA FUNDS ID #

Other names 1

  • Conemaugh Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Sep 2, 2017 Change of OwnershipThis provider was the seller Conemaugh Home HealthCCN 397406, PA, NPI 1831613520

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495411200000",
    "number": "1457354672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274536",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 LOCUST ST",
            "address_2": "FIRST FLOOR SUITE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011651",
            "telephone_number": "814-534-7500",
            "fax_number": "814-534-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2017-05-22",
        "status": "A",
        "authorized_official_last_name": "GIOVANETTI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "740605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "0785",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS ID",
            "identifier": "PO08337",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY / MOM MATTERS",
            "identifier": "1011895",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007568490034",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG ID",
            "identifier": "030014300",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE WORKERS COMP ID",
            "identifier": "603577600",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA FUNDS ID #",
            "identifier": "1329770",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conemaugh Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.