Organization Active NPI

Shiloh Homecare Corporation

  • In Home Supportive Care Agency
  • York, PA
National Provider Identifier
1952724387
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
18833601 Issued in PA
Legal business name
SHILOH HOMECARE CORPORATION
Doing business as
ComForcare Home Care - York
Practice address
266 W Market St
York, PA 17401
Phone
(717) 718-9393
Fax
(717) 718-9595
NPI assigned
Jan 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Authorized official

Name
Mr. Michael S Griffin
Title
Owner
Phone
(717) 718-9393

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 06040501 PA
In Home Supportive Care Agency 253Z00000X 18833601 PA Primary

Addresses

Primary practice location

266 W Market St
York, PA 17401

Mailing address

PO Box 28
York, PA 17405-0028
Phone (717) 718-9393

Other names 1

  • ComForcare Home Care - York Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180815000036 PA Part A Provider - Home Health Agency 4486946019 Practice locations: York, PA

Home health agency certification: CCN 398322

Legal name
SHILOH HOMECARE CORPORATION
Doing business as
COMFORCARE HOME CARE-YORK
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 14, 2021
Last certification
Jan 7, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 31, 2013 in PA
Enrollment address
1561 E Market St
York, PA 17403-1256
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Comforcare Home Care - YorkCCN 398322
Ownership
Proprietary
Certified
Jan 14, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

National Provider Directory

National Provider Directory

Locations

1561 E Market St
York, PA 17403
Phone (717) 718-9393

266 W Market St
York, PA 17401
Phone (717) 718-9393

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
NJ Business Development Co Organization, Lutherville Timonium, MD Corporation 5% Or Greater Direct Ownership Interest Mar 19, 2018 100%
NJ Business Development Co Retirement Plan Organization, Lutherville Timonium, MD Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 19, 2018 100%
Michael S Griffin Individual 5% Or Greater Indirect Ownership InterestPresident Mar 19, 2018 100%
Corporate OfficerPresident Mar 19, 2018 100%
Corporate DirectorPresident Mar 19, 2018 100%
Operational/Managerial ControlPresident Mar 19, 2018

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1952724387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174050028",
            "telephone_number": "717-718-9393",
            "fax_number": "717-718-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 W MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17401",
            "telephone_number": "717-718-9393",
            "fax_number": "717-718-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH HOMECARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-718-9393",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "06040501",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "18833601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForcare Home Care - York",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.