Organization Active NPI

Family Care Home Health Agency LLC

  • Home Health Agency
  • Bloomsburg, PA
National Provider Identifier
1942514328
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAMILY CARE HOME HEALTH AGENCY LLC
Practice address
310 Montour Blvd
Bloomsburg, PA 17815-8581
Phone
(877) 787-2261
NPI assigned
Jul 28, 2010
Last updated
Jul 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Ronald Klinger
Title
Owner
Phone
(877) 787-2261

Specialties & licenses 1

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

Addresses

Primary practice location

310 Montour Blvd
Bloomsburg, PA 17815-8581

Mailing address

310 Montour Blvd
Bloomsburg, PA 17815-8581
Phone (877) 787-2261

Other identifiers 1

IdentifierTypeStateIssuer
102174520OtherPAWAIVER PROVIDER

National Provider Directory

National Provider Directory
Tax ID family
Family Care Home Health Agency LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

310 Montour Blvd
Bloomsburg, PA 17815
Phone (877) 487-6652

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1942514328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MONTOUR BLVD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158581",
            "telephone_number": "877-787-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MONTOUR BLVD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158581",
            "telephone_number": "877-787-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "KLINGER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-787-2261"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAIVER PROVIDER",
            "identifier": "102174520",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.