Organization Active NPI

Sandin Home Health Services,Inc

Doing business as Sandin Home Health Services

  • Home Health Agency
  • East McKeesport, PA
National Provider Identifier
1700884459
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
771405 Issued in PA
Legal business name
SANDIN HOME HEALTH SERVICES,INC
Doing business as
Sandin Home Health Services
Practice address
1119 Broadway St
East MC Keesport, PA 15035-1517
Phone
(412) 816-2325
Fax
(412) 816-2321
NPI assigned
Jul 7, 2005
Last updated
Apr 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Mrs. Denise Deborah Pacacha, RN BSN
Title
Administrator
Phone
(412) 816-2325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 771405 PA Primary

Addresses

Primary practice location

1119 Broadway St
East MC Keesport, PA 15035-1517

Mailing address

1119 Broadway St
East MC Keesport, PA 15035-1517
Phone (412) 816-2325

Other names 1

  • Sandin Home Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061229000152 PA Part A Provider - Home Health Agency 7012917818 Practice locations: North Huntington, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700884459. Details of each certification follow.

Home health agency certification: CCN 397714

Legal name
SANDIN HOME HEALTH SERVICES,INC
Doing business as
SANDIN HOME HEALTH SERVICES,INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 25, 1997
Last certification
Jul 17, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 1, 1999 in PA
Enrollment address
7990 Lincoln Way
North Huntington, PA 15642

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sandin Home Health Services IncCCN 397714 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Aug 25, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Pattie Williams Individual Corporate OfficerCfo Mar 9, 2011
W-2 Managing EmployeeCfo Mar 15, 2011
Michael Haass Individual 5% Or Greater Indirect Ownership Interest May 1, 2025 12.5%
HSL Care LLC Organization, North Huntington, PA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2025 12.5%
Kunal Desai Individual Corporate Director May 1, 2025 25%
Vishal Nainesh Desai Individual 5% Or Greater Indirect Ownership Interest May 1, 2025 25%
Michael Ward Individual 5% Or Greater Direct Ownership Interest May 1, 2025 12.5%
SMD Natrona LLC Organization, Coraopolis, PA Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2025 25%
Robert Zynosky Individual 5% Or Greater Direct Ownership Interest May 1, 2025 5%
Corporate Officer May 1, 2025
Corporate Director May 1, 2025
W-2 Managing EmployeeNurse Marketer May 1, 2025
Matthew Loffer Individual 5% Or Greater Direct Ownership Interest May 1, 2025 20%
Dearborn Health LLC Organization, Coraopolis, PA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest May 1, 2025 25%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1700884459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 BROADWAY ST",
            "city": "EAST MC KEESPORT",
            "state": "PA",
            "postal_code": "150351517",
            "telephone_number": "412-816-2325",
            "fax_number": "412-816-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 BROADWAY ST",
            "city": "EAST MC KEESPORT",
            "state": "PA",
            "postal_code": "150351517",
            "telephone_number": "412-816-2325",
            "fax_number": "412-816-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIN HOME HEALTH SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "PACACHA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "DEBORAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "412-816-2325",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "771405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandin Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East McKeesport, PA

Sources for this page

Verify at the official NPI Registry.