NPIMap

Organization Active NPI

Family Care Home Health, LLC

  • Home Health Agency
  • Bloomsburg, PA
National Provider Identifier
1649623232
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAMILY CARE HOME HEALTH, LLC
Practice address
212 W 5TH St
Bloomsburg, PA 17815-2107
Phone
(570) 416-1471
Fax
(877) 251-1742
NPI assigned
Jul 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Ronald KlingerNPI 1174790356
Title
Owner
Phone
(570) 764-1610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

212 W 5TH St
Bloomsburg, PA 17815-2107

Mailing address

212 W 5TH St
Bloomsburg, PA 17815-2107

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170130001010 PA Part A Provider - Home Health Agency 7214219187 Practice locations: Bloomsburg, PA

Home health agency certification: CCN 398277

Legal name
FAMILY CARE HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 10, 2017
Last certification
Oct 10, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 5, 2016 in PA
Enrollment address
212 W 5TH St
Bloomsburg, PA 17815-2107

Care Compare: Home health agency

Medicare Care Compare
Listed as
Family Care Home Health, LLCCCN 398277
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Oct 10, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Amber Klinger Individual Corporate DirectorVP, Secretary, Treasurer, Board Jul 5, 2016
Ronald Klinger Individual 5% Or Greater Direct Ownership Interest Jul 5, 2016 100%
Corporate DirectorBoard Member Jul 5, 2016
W-2 Managing EmployeePresident Jul 5, 2016

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 13

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1649623232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W 5TH ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178152107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W 5TH ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178152107",
            "telephone_number": "570-416-1471",
            "fax_number": "877-251-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "KLINGER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-764-1610"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

Verify at the official NPI Registry.