Active NPI
Clarion Forest Vna, Inc
- Home Health Agency
- Clarion, PA
National Provider Identifier
1790758928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 711605
- Legal business name
- CLARION FOREST VNA, INC
- Practice address
- 271 Perkins Rd
Clarion, PA 16214-8535 - Phone
- (814) 297-8400
- Fax
- (814) 297-8801
- NPI assigned
- Feb 8, 2006
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Colette Vickers
- Title
- Cfo
- Phone
- (814) 297-8400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 711605 | PA | Primary |
Addresses
Primary practice location
271 Perkins Rd
Clarion, PA 16214-8535
Mailing address
271 Perkins Rd
Clarion, PA 16214-8535
Phone (814) 297-8400
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0754 | Other | PA | BLUE CROSS VNA |
| 5556135 | Other | PA | AETNA COMMERCIAL |
| 000000095541 | Other | PA | THREE RIVERS MED |
| 332758 | Other | PA | ADVANTRA |
| 103977 | Other | PA | UPMC |
| 2402 | Other | PA | HEALTH AMER/HEALTH ASSURA |
| 0010815400001 | Medicaid | PA | |
| 079219800 | Other | PA | BLACK LUNG |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| RESTful URL | https://connect.keyhietransform.com/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100303000121 | PA | Part A Provider - Home Health Agency | 0244141687 | Practice locations: Clarion, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1790758928. Details of each certification follow.
Home health agency certification: CCN 397116
- Legal name
- CLARION FOREST VNA, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 25, 1975
- Last certification
- Apr 30, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- May 27, 1986 in PA
- Enrollment address
- 271 Perkins Rd
Clarion, PA 16214-8535
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Clarion Forest Vna Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Sep 25, 1975
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Clarion Forest Vna Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Clarion, PA
- NPI 1104898709
Locations
305 N Main St
Knox, PA 16232
Phone (814) 797-1995
Ownership & related parties
All disclosed owners & managing parties 14
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Dennyse L Mehta | Corporate Officer | Jan 1, 2025 | |
| Corporate Director | Oct 2, 2024 | ||
| Ronald Peters | Corporate Director | Oct 2, 2024 | |
| Stephen W French | Corporate Director | Oct 1, 2014 | |
| John Wagner | Corporate Officer | Feb 6, 2019 | |
| Corporate Director | Jan 23, 2007 | ||
| James Gary Arner | Corporate Director | Apr 6, 2022 | |
| Leslie Walters | Corporate Director | Aug 1, 2018 | |
| Janet M Troutman | Corporate Director | Oct 1, 2014 | |
| Paul D Hamm | Corporate Director | Jan 24, 2006 | |
| Justin Drayer | Corporate Officer | Nov 18, 2022 | |
| W-2 Managing Employee | Nov 18, 2022 | ||
| Kevin J Roth | Corporate Officer | Jan 1, 2025 | |
| Corporate Director | May 24, 2011 | ||
| Lisa Ann Steiner | Corporate Officer | May 29, 2020 | 0.5% |
| W-2 Managing Employee | May 29, 2020 | ||
| Usda Rural Housing Service | 5% Or Greater Mortgage Interest | Mar 22, 2011 | 51% |
| Susan M Schmader | Corporate Officer | Jan 1, 2025 | |
| Corporate Director | Feb 6, 2019 | ||
| Janet L Lander | Corporate Officer | Jan 1, 2025 | |
| Corporate Director | Oct 7, 2015 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Medical Oncology Physician
- Clarion, PA
- NPI 1477529329
Affiliated clinicians 22
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Shippenville, PA
- NPI 1518932334
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1790758928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 PERKINS RD",
"city": "CLARION",
"state": "PA",
"postal_code": "162148535",
"telephone_number": "814-297-8400",
"fax_number": "814-297-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 PERKINS RD",
"city": "CLARION",
"state": "PA",
"postal_code": "162148535",
"telephone_number": "814-297-8400",
"fax_number": "814-297-8801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARION FOREST VNA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-08",
"last_updated": "2022-07-21",
"certification_date": "2020-07-20",
"status": "A",
"authorized_official_last_name": "VICKERS",
"authorized_official_first_name": "COLETTE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "814-297-8400",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "711605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS VNA",
"identifier": "0754",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA COMMERCIAL",
"identifier": "5556135",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS MED",
"identifier": "000000095541",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANTRA",
"identifier": "332758",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "103977",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMER/HEALTH ASSURA",
"identifier": "2402",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010815400001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "079219800",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "REST",
"endpointTypeDescription": "RESTful URL",
"endpoint": "https://connect.keyhietransform.com/",
"affiliation": "N",
"endpointDescription": "Local client that updates patient information with KeyHIE",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": ".txt",
"address_1": "271 Perkins Rd",
"city": "Clarion",
"state": "PA",
"country_code": "US",
"postal_code": "162148535",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Clarion, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.