NPIMap

Organization Active NPI

In Home Health LLC

  • Community Based Hospice Care Agency
  • Pittsburgh, PA
National Provider Identifier
1609890870
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
161099 Issued in PA
Legal business name
IN HOME HEALTH LLC
Practice address
750 Holiday Dr
BLDG 9, Suite 110
Pittsburgh, PA 15220-2769
Phone
(412) 928-2126
Fax
(412) 928-2127
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Authorized official

Name
Mr. Martin D Allen
Title
Director
Phone
(419) 252-5734

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X
Community Based Hospice Care Agency 251G00000X 161099 PA Primary

Addresses

Primary practice location

750 Holiday Dr
BLDG 9, Suite 110
Pittsburgh, PA 15220-2769

Mailing address

333 N Summit St
Attn: Dean Shipman
Toledo, OH 43604-2615
Phone (419) 254-7841

Other practice location 1

2200 Garden Dr Ste 220C
Seven Fields, PA 16046-7869
Phone (724) 776-3933

Other practice location 2

1590 N Center Ave Ste 103
Somerset, PA 15501-7019
Phone (814) 443-6450

Other practice location 3

999 Eisenhower Blvd Ste H
Johnstown, PA 15904-3347
Phone (814) 619-2231

Other practice location 4

3520 Route 130
Irwin, PA 15642-1438
Phone (724) 744-1408

Other identifiers 1

IdentifierTypeStateIssuer
1006808760016MedicaidPA

Other names 5

  • ProMedica Hospice (Irwin) Doing business as
  • ProMedica Hospice (Johnstown) Doing business as
  • ProMedica Hospice (Pittsburgh) Doing business as
  • ProMedica Hospice (Seven Fields) Doing business as
  • ProMedica Hospice (Somerset) Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200720000032 PA Part B Supplier - Clinic/Group Practice 2062320336 Receives reassigned benefits from 3 practitioners
3 other NPIs on this enrollment
Practice locations: Erie, PA; Hermitage, PA; Irwin, PA; Johnstown, PA; Pittsburgh, PA; Seven Fields, PA; Somerset, PA

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3520 Route 130
Irwin, PA 15642
Phone (724) 744-1408

2200 Garden Dr
Ste 220C
Seven Fields, PA 16046
Phone (724) 776-3933

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Nov 1, 2023 Change of OwnershipThis provider was the seller Heartland HospiceCCN 391610, PA, NPI 1700585221

Change of ownership 1

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1609890870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "address_2": "ATTN: DEAN SHIPMAN",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "419-254-7841",
            "fax_number": "419-252-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HOLIDAY DR",
            "address_2": "BLDG 9, SUITE 110",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152202769",
            "telephone_number": "412-928-2126",
            "fax_number": "412-928-2127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Garden Dr Ste 220C",
            "address_purpose": "LOCATION",
            "city": "Seven Fields",
            "state": "PA",
            "postal_code": "160467869",
            "country_code": "US",
            "telephone_number": "724-776-3933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1590 N Center Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "PA",
            "postal_code": "155017019",
            "country_code": "US",
            "telephone_number": "814-443-6450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 Eisenhower Blvd Ste H",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159043347",
            "country_code": "US",
            "telephone_number": "814-619-2231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3520 Route 130",
            "address_purpose": "LOCATION",
            "city": "Irwin",
            "state": "PA",
            "postal_code": "156421438",
            "country_code": "US",
            "telephone_number": "724-744-1408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IN HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "161099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006808760016",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Hospice (Irwin)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Hospice (Johnstown)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Hospice (Pittsburgh)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Hospice (Seven Fields)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Hospice (Somerset)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.