NPIMap

Organization Active NPI

Upmc Home Healthcare of Central Pennsylvania

Doing business as Susquehanna Home Care and Hospice Services

  • Home Health Agency
  • Williamsport, PA
National Provider Identifier
1881189256
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
700605 Issued in PA
Legal business name
UPMC HOME HEALTHCARE OF CENTRAL PENNSYLVANIA
Doing business as
Susquehanna Home Care and Hospice Services
Practice address
1100 Grampian Blvd
Four South
Williamsport, PA 17701
Phone
(570) 723-0760
Fax
(570) 723-0789
NPI assigned
Jun 27, 2018
Last updated
Jan 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Robert Griffith
Title
Cfo
Phone
(724) 778-4606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 700605 PA Primary

Addresses

Primary practice location

1100 Grampian Blvd
Four South
Williamsport, PA 17701

Mailing address

1100 Grampian Blvd
Four South
Williamsport, PA 17701-1909
Phone (570) 320-7690

Other practice location 1

32-36 Central Ave
Wellsboro, PA 16901-1840
Phone (570) 723-0760

Other identifiers 1

IdentifierTypeStateIssuer
1007767800071MedicaidPA

Other names 1

  • Susquehanna Home Care and Hospice Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMCHomeHealthcareCentralPA@upmcdirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181015002461 PA Part A Provider - Home Health Agency 7012824972 Practice locations: Kane, PA; Williamsport, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881189256. Details of each certification follow.

Home health agency certification: CCN 397006

Legal name
UPMC HOME HEALTHCARE OF CENTRAL PENNSYLVANIA
Doing business as
UPMC HOME HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Aug 23, 2019
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Sep 16, 1966 in PA
Enrollment address
1100 Grampian Blvd
Williamsport, PA 17701-1907

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Upmc Home HealthcareCCN 397006 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jul 1, 1966
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
Tax ID family
Home Nursing Agency Visiti10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

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.

NameRoleSinceShare
Home Nursing Agency Affiliates Organization, Altoona, PA Corporation Operational/Managerial Control Jan 9, 1986
Kathy Harris Individual W-2 Managing EmployeeAd;Senior Manager, Compliance Aug 1, 2018
Donald Beckstead Individual Corporate DirectorBoard Member Aug 1, 2018
Val Mignogna Individual Corporate DirectorBoard Member Aug 1, 2018
Robert Griffith Individual Corporate OfficerCfo Aug 1, 2018
Corporate DirectorTreasurer Jan 1, 2022
Kim Burns-Ward Individual Corporate DirectorBoard Member Aug 1, 2018
Lori a Ask Individual W-2 Managing EmployeeDirector, Clinical Operations Jan 1, 2024
Laurie a Karstetter Individual W-2 Managing EmployeeVice President, Home Health Jan 1, 2024
Samantha J Reeder Individual W-2 Managing EmployeeAlternate Administrator Mar 1, 2025
Susan K Thompson Individual Corporate DirectorBoard Chair Jan 1, 2024
Sandra R Tomlinson Individual Corporate DirectorBoard Member Aug 1, 2018
Jennifer L Vennare Individual Corporate OfficerPresident Jan 1, 2024
Amy Elaine Swindell Individual Corporate DirectorBoard Member Aug 1, 2018
Vickie Hardy Leone Individual W-2 Managing EmployeeSenior Director, Quality & Co Jan 1, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 3

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

Change-of-ownership history 1

DateEventCounterparty
Aug 1, 2018 Change of OwnershipThis provider was the buyer Susquehanna Home Care & HospiceCCN 397006, PA, NPI 1871548560

Change of ownership 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 106

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

View all 106

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1881189256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 GRAMPIAN BLVD",
            "address_2": "FOUR SOUTH",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011909",
            "telephone_number": "570-320-7690",
            "fax_number": "570-323-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GRAMPIAN BLVD",
            "address_2": "FOUR SOUTH",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "17701",
            "telephone_number": "570-723-0760",
            "fax_number": "570-723-0789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32-36 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Wellsboro",
            "state": "PA",
            "postal_code": "169011840",
            "country_code": "US",
            "telephone_number": "570-723-0760",
            "fax_number": "570-723-0789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UPMC HOME HEALTHCARE OF CENTRAL PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "724-778-4606"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "700605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007767800071",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMCHomeHealthcareCentralPA@upmcdirect.com",
            "affiliation": "N",
            "address_1": "1100 Grampian Blvd",
            "address_2": "Four South",
            "city": "Williamsport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Susquehanna Home Care and Hospice Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Susquehanna Home Care and Hospice Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.