Organization Active NPI

Blue Mountain Hospital

  • Home Health Agency
  • Lehighton, PA
National Provider Identifier
1902825896
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
710505 Issued in PA
Legal business name
BLUE MOUNTAIN HOSPITAL
Practice address
800 Mahoning St Suite a
Lehighton, PA 18235-1246
Phone
(610) 377-7157
Fax
(610) 377-7926
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Authorized official

Name
Mrs. Andrea L. Andrae
Title
Cfo
Phone
(610) 377-7003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 710505 PA Primary

Addresses

Primary practice location

800 Mahoning St Suite a
Lehighton, PA 18235-1246

Mailing address

211 North 12TH Street
Finance Office
Lehighton, PA 18235-1596
Phone (610) 377-7003

Other identifiers 1

IdentifierTypeStateIssuer
1004958310012MedicaidPA

Other names 1

  • Blue Mountain Home Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

800 Mahoning St
Ste A
Lehighton, PA 18235
Phone (610) 377-7157

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1902825896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 NORTH 12TH STREET",
            "address_2": "FINANCE OFFICE",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351596",
            "telephone_number": "610-377-7003",
            "fax_number": "610-377-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAHONING ST SUITE A",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351246",
            "telephone_number": "610-377-7157",
            "fax_number": "610-377-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MOUNTAIN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "ANDRAE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-377-7003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "710505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004958310012",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Mountain Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lehighton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.