Organization Active NPI

Pennsylvania in-Home Partner-I, LLC

Doing business as Conemaugh Home Health

  • Home Health Agency
  • Johnstown, PA
National Provider Identifier
1831613520
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PENNSYLVANIA IN-HOME PARTNER-I, LLC
Doing business as
Conemaugh Home Health
Practice address
210 Industrial Park Rd Ste 140
Johnstown, PA 15904-1948
Phone
(814) 534-7500
Fax
(814) 534-7501
NPI assigned
Aug 3, 2017
Last updated
Feb 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Mr. Nicholas Gachassin III
Title
Secretary
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

210 Industrial Park Rd Ste 140
Johnstown, PA 15904-1948

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other names 1

  • Conemaugh Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171120000690 PA Part A Provider - Home Health Agency 8729345111 Practice locations: Bedford, PA; Ebensburg, PA; Hollsopple, PA; Johnstown, PA; Meyersdale, PA; Philipsburg, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831613520. Details of each certification follow.

Home health agency certification: CCN 397406

Legal name
PENNSYLVANIA IN-HOME PARTNER-I, LLC
Doing business as
CONEMAUGH HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 17, 1985
Last certification
Jul 27, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Nov 18, 2016 in PA
Enrollment address
210 Industrial Park Rd
Ste 140
Johnstown, PA 15904-1948

Care Compare: Home health agency

Medicare Care Compare
Listed as
Conemaugh Home HealthCCN 397406 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 17, 1985
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
39D2149775Pennsylvania in-Home Partner-I, LLC210 Industrial Park Rd, Suite 140, Johnstown, PA 15904Certificate of waiverJun 10, 2028

National Provider Directory

National Provider Directory

Locations

145 Clark Building Rd
Ste 8
Bedford, PA 15522
Phone (814) 623-2820

210 Ohio St
Boswell, PA 15531
Phone (814) 629-5653

212 Jamesway Rd
Ebensburg, PA 15931
Phone (814) 472-4521

881 Hills Plz
Ste 550
Ebensburg, PA 15931
Phone (814) 472-4521

1653 Penn Ave
Hollsopple, PA 15935
Phone (814) 629-5653

210 Industrial Park Rd
Ste 140
Johnstown, PA 15904
Phone (814) 534-7500

1216 Walton St
Philipsburg, PA 16866
Phone (814) 342-6670

200 N Front St
Ste 104
Philipsburg, PA 16866
Phone (814) 342-6670

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 80%
Home Health Partner LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2020 20%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerTreasurer Feb 22, 2023
LHCG Partner LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2020 80%
Lifepoint Hospitals Holdings LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2020 20%
Pennsylvania in-Home Healthcare Partnership-I LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Jan 1, 2020 100%
Historic Lifepoint Hospitals, LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2020 20%
In-Home Healthcare Partnership LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2020 100%
Wendy S Daigle Individual Corporate DirectorDirector of Licensure & Reg Affairs Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Jan 1, 2020 80%
Joshua Lee Proffitt Individual Corporate OfficerPresident Feb 22, 2023
Legacy Lifepoint Health LLC Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Jan 1, 2020 20%
Amy Cormier Individual Corporate DirectorDirector, Managed Care Network May 1, 2025
Joel Airesman Individual W-2 Managing EmployeeAd; Jun 7, 2025

Facilities with the same owner 200

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

View all 200

Change-of-ownership history 1

DateEventCounterparty
Sep 2, 2017 Change of OwnershipThis provider was the buyer Conemaugh Home HealthCCN 397406, PA, NPI 1457354672

Change of ownership 1

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

Practitioners & affiliated clinicians

Practitioners 7

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 104

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

View all 104

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1831613520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 INDUSTRIAL PARK RD STE 140",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041948",
            "telephone_number": "814-534-7500",
            "fax_number": "814-534-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA IN-HOME PARTNER-I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conemaugh Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.