Essent Healthcare - Waynesburg LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

713805 Issued in PA

Legal business name

ESSENT HEALTHCARE - WAYNESBURG LLC

Doing business as

Southwestern Home Care

Practice address

265 Elm Drive
Suite 2
Waynesburg, PA 15370

Phone

(724) 627-1900

Fax

(724) 627-1998

NPI assigned

Oct 12, 2005

Organization subpart

No

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

Authorized official

Name

Stephen L. Page

Title

Vice President

Phone

(615) 844-9849

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Southwestern Home Care Doing business as

Tax ID family

Upmc Greene5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Essent Healthcare - Waynesburg LLC

  • General Acute Care Hospital
  • Waynesburg, PA
  • NPI 1336294719
  NPD tax ID
• Upmc Greene

  • General Acute Care Hospital
  • Waynesburg, PA
  • NPI 1225417421
  NPD tax ID
• Upmc Greene

  • Clinic/Center
  • Waynesburg, PA
  • NPI 1750760328
  NPD tax ID
• Upmc Greene

  • Medicare Defined Swing Bed Hospital Unit
  • Waynesburg, PA
  • NPI 1972982882
  NPD tax ID

Locations

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1841288800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 ELM DRIVE",
            "address_2": "SUITE 2",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "15370",
            "telephone_number": "724-627-1900",
            "fax_number": "724-627-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 ELM DRIVE",
            "address_2": "SUITE 2",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "15370",
            "telephone_number": "724-627-1900",
            "fax_number": "724-627-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENT HEALTHCARE - WAYNESBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-844-9849"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "713805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "395772",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007722070007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1500357",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA/HEALTH ASSURANCE",
            "identifier": "53513",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0756",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS/MED PLUS",
            "identifier": "75735",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "0812609",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwestern Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• EMS Southwest Inc
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• Essent Healthcare - Waynesburg LLC
• Essent Healthcare - Waynesburg LLC
• Essent Healthcare - Waynesburg LLC
• Essent Healthcare - Waynesburg LLC
• Essent Healthcare -Waynesburg LLC
• Family Ties Home Care, Inc.
• Deborah Lee Farrier, BA
• Leon Francis Favede II

• Home Health Agency in Waynesburg, PA
• Providers in Waynesburg, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.