Organization Active NPI

Homemaker-Home Health Aide Service of Beaver County, Inc.

  • Home Health Agency
  • Beaver, PA
National Provider Identifier
1912061672
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001849986MedicaidPA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.