NPIMap

Organization Active NPI

Concordia Visiting Nurses

  • Home Health Agency
  • Cabot, PA
National Provider Identifier
1669474847
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
397717 Issued in PA
Legal business name
CONCORDIA VISITING NURSES
Practice address
613 N Pike Road
Cabot, PA 16023-2215
Phone
(724) 352-6200
Fax
(724) 352-3884
NPI assigned
Jun 1, 2005
Last updated
Oct 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Mr. Martin J. Trettel
Title
Director of Home and Community Serv
Phone
(724) 352-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 397717 PA Primary

Addresses

Primary practice location

613 N Pike Road
Cabot, PA 16023-2215

Mailing address

613 N Pike Rd
Cabot, PA 16023-2215
Phone (724) 352-6200

Other identifiers 1

IdentifierTypeStateIssuer
1016716570001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120104000173 PA Part A Provider - Home Health Agency 3577576073 Practice locations: Baden, PA; Cabot, PA; Bridgeville, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669474847. Details of each certification follow.

Home health agency certification: CCN 397717

Legal name
CONCORDIA VISITING NURSES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 28, 1998
Last certification
May 1, 2017
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
May 4, 2006 in PA
Enrollment address
613 N Pike Rd
Cabot, PA 16023-2215

Care Compare: Home health agency

Medicare Care Compare
Listed as
Concordia Visiting NursesCCN 397717 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
May 28, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1055681Concordia Visiting Nurses613 North Pike Road, Cabot, PA 16023Certificate of waiverJun 22, 2028

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1225 Washington Pike
Ste 403
Bridgeville, PA 15017
Phone (412) 942-9702

613 N Pike Rd
Cabot, PA 16023
Phone (724) 352-6200

121 Enclave Dr
#B
New Castle, PA 16105
Phone (724) 202-7617

121 Enclave Dr
Ste B
New Castle, PA 16105
Phone (724) 202-2617

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Upmc Washington Organization, Washington, PA Non-profit 5% Or Greater Direct Ownership Interest Sep 1, 2015 12%
David Dillon Individual Corporate Director Jan 1, 2024
Jennifer Kirschler Individual Corporate DirectorBoard Member Feb 1, 2024
Jeffrey Alvarez Individual Corporate DirectorBoard Member May 25, 2025
Martin Trettel Individual Corporate OfficerPresident/Ceo Jul 1, 2006
Corporate DirectorBoard Member Sep 1, 2015
W-2 Managing EmployeePresident/Ceo May 29, 1998
Mario Fatigati Individual Corporate DirectorBoard Member Jan 1, 2018
Tammy Young Individual Corporate OfficerCfo Jun 1, 2015 100%
W-2 Managing EmployeeCfo Jun 1, 2015 100%
Jenna Lee Enscoe Individual Corporate DirectorBoard Member Jun 1, 2025
Laura McGraw Individual W-2 Managing EmployeeExecutive Director Dec 1, 2024
Keith E Frndak Individual Corporate DirectorBoard Member Jan 1, 2011
Butler Healthcare Providers Organization, Butler, PA Non-profit 5% Or Greater Direct Ownership Interest Sep 1, 2015 12%
Concordia Care Network Organization, Cabot, PA Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2015 52%
Heritage Valley Health System Organization, Beaver, PA Non-profit 5% Or Greater Direct Ownership Interest Sep 1, 2015 12%
Linda Homyk Individual Corporate DirectorBoard Member Jan 1, 2021
Diane Puccetti Individual Corporate DirectorBoard Member Jan 1, 2025
Norman F Mitry Individual Corporate DirectorBoard Member Sep 1, 2015
St Clair Memorial Hospital Organization, Pittsburgh, PA Non-profit 5% Or Greater Direct Ownership Interest Sep 1, 2015 12%

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 19

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 255

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

View all 255

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1669474847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 N PIKE RD",
            "city": "CABOT",
            "state": "PA",
            "postal_code": "160232215",
            "telephone_number": "724-352-6200",
            "fax_number": "724-352-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 N PIKE ROAD",
            "city": "CABOT",
            "state": "PA",
            "postal_code": "160232215",
            "telephone_number": "724-352-6200",
            "fax_number": "724-352-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA VISITING NURSES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "TRETTEL",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR OF HOME AND COMMUNITY SERV",
        "authorized_official_telephone_number": "724-352-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "397717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016716570001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, PA

Sources for this page

Verify at the official NPI Registry.