Organization Active NPI

Brookline Home Care, Inc

Doing business as Brookline Hospice

  • Community Based Hospice Care Agency
  • State College, PA
National Provider Identifier
1932295920
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
161499 Issued in PA
Legal business name
BROOKLINE HOME CARE, INC
Doing business as
Brookline Hospice
Practice address
3901 South Atherton Street
State College, PA 16801
Phone
(814) 466-4800
Fax
(814) 466-4806
NPI assigned
Oct 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lesa Schaffer, RN
Title
Director
Phone
(814) 466-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 161499 PA Primary

Addresses

Primary practice location

3901 South Atherton Street
State College, PA 16801

Mailing address

3901 South Atherton Street
State College, PA 16801
Phone (814) 466-4800

Other identifiers 1

IdentifierTypeStateIssuer
1007326130008MedicaidPA

Other names 1

  • Brookline Hospice Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932295920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 SOUTH ATHERTON STREET",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16801",
            "telephone_number": "814-466-4800",
            "fax_number": "814-466-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 SOUTH ATHERTON STREET",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16801",
            "telephone_number": "814-466-4800",
            "fax_number": "814-466-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLINE HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHAFFER",
        "authorized_official_first_name": "LESA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "814-466-4800",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "161499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007326130008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookline Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.