Chestnutknoll at Home

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

13263601 Issued in PA

Legal business name

CHESTNUTKNOLL AT HOME

Practice address

1041 E Philadelphia Ave
Gilbertsville, PA 19525-8200

Phone

(610) 473-7291

NPI assigned

Oct 31, 2011

Last updated

Oct 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danean Hudson

Title

Billing Specialist

Phone

(610) 473-7291

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1881970226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 E. PHILADELPHIA AVE.",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "19525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 E PHILADELPHIA AVE",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195258200",
            "telephone_number": "610-473-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUTKNOLL AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "DANEAN",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "610-473-7291"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "13263601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009438050001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Buckley, PTA
• Jennifer Ann Cavalari
• Charitys Home
• Charitys Home
• Billie Chen Bautista
• CHP-LVHN JV, LLC (Lehigh Valley Hospital Gilbertsville)
• Richard P Christoph
• Complete Family Eyecare, LTD
• Complete Home Eyecare, LTD
• Joseph G Coyne, M.ED, BSL

• Home Health Agency in Gilbertsville, PA
• Providers in Gilbertsville, 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 Oct 31, 2011; 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.