Organization Active NPI

Specialty Home Care, LLC

  • In Home Supportive Care Agency
  • Hershey, PA
National Provider Identifier
1508311127
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
22263601 Issued in PA
Legal business name
SPECIALTY HOME CARE, LLC
Practice address
1251 E Chocolate Ave
Hershey, PA 17033-1254
Phone
(717) 533-4400
Fax
(717) 533-4422
NPI assigned
Aug 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Mr. Donald F Davis, ESQ.
Title
President
Phone
(717) 533-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 22263601 PA Primary

Addresses

Primary practice location

1251 E Chocolate Ave
Hershey, PA 17033-1254

Mailing address

PO Box 362
Hershey, PA 17033-0362
Phone (717) 533-4400

Other identifiers 2

IdentifierTypeStateIssuer
22263601OtherPASTATE DEPT OF HEALTH
1026952140001MedicaidPA

National Provider Directory

National Provider Directory

Locations

1251 E Chocolate Ave
Hershey, PA 17033
Phone (717) 533-8071

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1508311127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170330362",
            "telephone_number": "717-533-4400",
            "fax_number": "717-533-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 E CHOCOLATE AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331254",
            "telephone_number": "717-533-4400",
            "fax_number": "717-533-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-533-4400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "22263601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DEPT OF HEALTH",
            "identifier": "22263601",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026952140001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.