Penn Medical Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PENN MEDICAL HOME HEALTH CARE LLC

Practice address

108 N Mountain Rd
Harrisburg, PA 17112-2616

Phone

(717) 678-1320

Fax

(717) 678-6030

NPI assigned

Mar 23, 2022

Organization subpart

No

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

Authorized official

Name

Noor Makhoul

Title

Alt Admin

Phone

(717) 678-1320

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Home health agency certification: CCN 398365

Legal name

PENN MEDICAL HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 21, 2024

Last certification

Jun 14, 2024

Organization structure

LLCProprietary

Incorporated

Mar 16, 2022 in PA

Enrollment address

1195 Pennsylvania Ave
Bethlehem, PA 18018-2026

Listed as

Penn Medical Home Health Care LLCCCN 398365 · All quality measures

Ownership

-

Certified

Jun 21, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780704000000",
    "number": "1538818679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N MOUNTAIN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122616",
            "telephone_number": "717-678-1320",
            "fax_number": "717-678-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N MOUNTAIN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122616",
            "telephone_number": "717-678-1320",
            "fax_number": "717-678-6030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1195 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180182026",
            "country_code": "US",
            "telephone_number": "717-678-1320",
            "fax_number": "717-678-6030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENN MEDICAL HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A",
        "authorized_official_last_name": "MAKHOUL",
        "authorized_official_first_name": "NOOR",
        "authorized_official_title_or_position": "ALT ADMIN",
        "authorized_official_telephone_number": "717-678-1320"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enrique Pena
• Amanda C Pendleton
• Aleesha Penica, RN
• Penn Home Care LLC
• Penn Medical EMS LLC
• Penn Medical Logistics Transporation
• Penn Rehabilitation Associates, P.C.
• Penn State Health Community Medical Group, LLC
• Penn State Health Medical Group, LLC
• Penn State Health Medical Group, LLC

• Home Health Agency in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.