Active NPI
Homemaker-Home Health Aide Service of Beaver County, Inc.
- Home Health Agency
- Beaver, PA
National Provider Identifier
1912061672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HOMEMAKER-HOME HEALTH AIDE SERVICE OF BEAVER COUNTY, INC.
- Practice address
- 376 Market St
Beaver, PA 15009-2917 - Phone
- (724) 774-4002
- Fax
- (724) 774-7703
- NPI assigned
- Dec 20, 2006
- Last updated
- Apr 2, 2014
- 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. Mary Ann Bolland, M.ED.
- Title
- Executive Director
- Phone
- (724) 774-4002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
376 Market St
Beaver, PA 15009-2917
Mailing address
376 Market St
Beaver, PA 15009-2917
Phone (724) 774-4002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001849986 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
376 Market St
Beaver, PA 15009
Phone (724) 774-4002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396396800000",
"number": "1912061672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "376 MARKET ST",
"city": "BEAVER",
"state": "PA",
"postal_code": "150092917",
"telephone_number": "724-774-4002",
"fax_number": "724-774-7703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "376 MARKET ST",
"city": "BEAVER",
"state": "PA",
"postal_code": "150092917",
"telephone_number": "724-774-4002",
"fax_number": "724-774-7703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMEMAKER-HOME HEALTH AIDE SERVICE OF BEAVER COUNTY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2014-04-02",
"status": "A",
"authorized_official_last_name": "BOLLAND",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "724-774-4002",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.ED."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001849986",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaver, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.