Organization Active NPI

Penn Home Health Inc.

  • Home Health Agency
  • Indiana, PA
National Provider Identifier
1851397012
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
02360501 Issued in PA
Legal business name
PENN HOME HEALTH INC.
Practice address
1177 S 6TH St Ste C
Indiana, PA 15701-3759
Phone
(724) 465-0440
Fax
(724) 465-0444
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Kevin Carter DeyarminNPI 1063940773
Title
Coo
Phone
(814) 487-6278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 02360501 PA Primary

Addresses

Primary practice location

1177 S 6TH St Ste C
Indiana, PA 15701-3759

Mailing address

1177 S 6TH St Ste C
Indiana, PA 15701-3759
Phone (724) 465-0440

Other identifiers 2

IdentifierTypeStateIssuer
0060OtherPAHIGHMARK BLUE CROSS BLUE
1015704300002MedicaidPA

Other names 1

  • Heritage Home Health Agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040510000553 PA Part A Provider - Home Health Agency 4688663214 Practice locations: Indiana, PA

Home health agency certification: CCN 398009

Legal name
PENN HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 20, 2004
Last certification
Dec 20, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 2, 2004 in PA
Enrollment address
1480 Indian Springs Rd
Ste 3
Indiana, PA 15701-3249

Care Compare: Home health agency

Medicare Care Compare
Listed as
Penn Home Health, IncCCN 398009
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Sep 20, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1480 Indian Springs Rd
Ste 3
Indiana, PA 15701
Phone (724) 465-0440

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Kevin C Deyarmin Individual W-2 Managing EmployeeDirector of Operations Sep 1, 2015 75%
Frank a Rezk Individual 5% Or Greater Direct Ownership InterestPresident Sep 1, 2015 100%
Corporate OfficerPresident Sep 1, 2015 100%
Corporate DirectorPresident Sep 1, 2015 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1851397012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 S 6TH ST STE C",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013759",
            "telephone_number": "724-465-0440",
            "fax_number": "724-465-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 S 6TH ST STE C",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013759",
            "telephone_number": "724-465-0440",
            "fax_number": "724-465-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "DEYARMIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "CARTER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "814-487-6278"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "02360501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS BLUE",
            "identifier": "0060",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015704300002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heritage Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.