Organization Active NPI

In Home Services of Central PA, LLC

  • Home Health Agency
  • Burnham, PA
National Provider Identifier
1962956797
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
27353601 Issued in PA
Legal business name
IN HOME SERVICES OF CENTRAL PA, LLC
Practice address
20 Windmill HL Ste 7
Burnham, PA 17009-1837
Phone
(888) 881-2046
NPI assigned
Aug 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
Kenton Stuck
Title
Ceo/Owner
Phone
(888) 881-2046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 27353601 PA Primary

Addresses

Primary practice location

20 Windmill HL Ste 7
Burnham, PA 17009-1837

Mailing address

20 Windmill HL Ste 7
Burnham, PA 17009-1837
Phone (888) 881-2046

Other identifiers 1

IdentifierTypeStateIssuer
1030851110001MedicaidPA

National Provider Directory

National Provider Directory

Locations

20 Windmill Hl
Ste 7
Burnham, PA 17009
Phone (888) 881-2046

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1962956797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WINDMILL HL STE 7",
            "city": "BURNHAM",
            "state": "PA",
            "postal_code": "170091837",
            "telephone_number": "888-881-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WINDMILL HL STE 7",
            "city": "BURNHAM",
            "state": "PA",
            "postal_code": "170091837",
            "telephone_number": "888-881-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME SERVICES OF CENTRAL PA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "STUCK",
        "authorized_official_first_name": "KENTON",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "888-881-2046"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "27353601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030851110001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnham, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.