Active NPI
Penn Home Health Inc.
- Home Health Agency
- Indiana, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 02360501
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Carter Deyarmin
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0060 | Other | PA | HIGHMARK BLUE CROSS BLUE |
| 1015704300002 | Medicaid | PA |
Other names 1
- Heritage Home Health Agency
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Sep 20, 2004
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin C Deyarmin | W-2 Managing Employee | Sep 1, 2015 | 75% |
| Frank a Rezk | 5% Or Greater Direct Ownership Interest | Sep 1, 2015 | 100% |
| Corporate Officer | Sep 1, 2015 | 100% | |
| Corporate Director | 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.
-
- Naturopath
- South Fork, PA
- NPI 1063940773
Affiliated clinicians 13
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Blairsville, PA
- NPI 1114983616
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.