NPIMap

Organization Active NPI

Home Health Care Professionals, Inc.

  • Community Based Hospice Care Agency
  • Olyphant, PA
National Provider Identifier
1962504159
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOME HEALTH CARE PROFESSIONALS, INC.
Practice address
520 Burke Byp
Olyphant, PA 18447-1805
Phone
(570) 876-2900
Fax
(570) 382-3568
NPI assigned
Sep 1, 2006
Last updated
May 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Mrs. Maria Lynn Davis
Title
Director/Owner
Phone
(570) 876-2900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 766205 PA
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

520 Burke Byp
Olyphant, PA 18447-1805

Mailing address

520 Burke Byp
Olyphant, PA 18447-1805
Phone (570) 876-2900

Other identifiers 1

IdentifierTypeStateIssuer
001582492MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060912000122 PA Part A Provider - Hospice 0244271864 Practice locations: Olyphant, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962504159. Details of each certification follow.

Hospice certification: CCN 391680

Legal name
HOME HEALTH CARE PROFESSIONALS, INC.
Doing business as
HOME HEALTH CARE PROFESSIONALS AND HOSPICE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 30, 2006
Last certification
Sep 15, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 30, 2006 in PA
Enrollment address
520 Burke Byp
Olyphant, PA 18447-1805

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Home Health Care Professionals and HospiceCCN 391680 · All quality measures
Ownership
For-Profit
Certified
Oct 30, 2006
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Home Health Care Professionals2 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

940 Scranton Carbondale Hwy
Eynon, PA 18403
Phone (570) 521-6722

520 Burke Byp
Olyphant, PA 18447
Phone (570) 876-2900

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Maria L. Davis Individual 5% Or Greater Direct Ownership Interest Jun 18, 2019 100%
Corporate OfficerPresident Oct 30, 2006
Corporate DirectorPresident Oct 30, 2006 50%
W-2 Managing EmployeePresident Oct 30, 2006
Operational/Managerial ControlDirector of Operations & Patient Oct 30, 2006 50%

Practitioners & affiliated clinicians

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1962504159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 BURKE BYP",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "184471805",
            "telephone_number": "570-876-2900",
            "fax_number": "570-382-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 BURKE BYP",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "184471805",
            "telephone_number": "570-876-2900",
            "fax_number": "570-382-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH CARE PROFESSIONALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "570-876-2900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "766205",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001582492",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olyphant, PA

Sources for this page

Verify at the official NPI Registry.