NPIMap

Organization Active NPI

At Home Quality Care

  • In Home Supportive Care Agency
  • Hershey, PA
National Provider Identifier
1588201826
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AT HOME QUALITY CARE
Practice address
901 West Governor Road
Hershey, PA 17033-2219
Phone
(570) 587-4700
Fax
(201) 621-4325
NPI assigned
Dec 5, 2019
Last updated
Dec 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Mrs. Tracie Collins-Burns
Title
Ar Billing Manager/Contracts
Phone
(551) 223-1941

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

901 West Governor Road
Hershey, PA 17033-2219

Mailing address

611 Route 46 West, Suite 200
Hasbrouck Heights, NJ 07604-1307
Phone (551) 223-1941

Other identifiers 1

IdentifierTypeStateIssuer
1024949780002MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
At Home Quality Care5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1588201826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ROUTE 46 WEST, SUITE 200",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041307",
            "telephone_number": "551-223-1941",
            "fax_number": "201-621-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WEST GOVERNOR ROAD",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332219",
            "telephone_number": "570-587-4700",
            "fax_number": "201-621-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME QUALITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "COLLINS-BURNS",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "AR BILLING MANAGER/CONTRACTS",
        "authorized_official_telephone_number": "551-223-1941",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024949780002",
            "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 Dec 10, 2019; 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.