Active NPI
Blue Mountain Hospital
- Home Health Agency
- Lehighton, PA
National Provider Identifier
1902825896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 710505
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1004958310012 | Medicaid | PA |
Other names 1
- Blue Mountain Home Health Care
National Provider Directory
National Provider DirectoryLocations
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.