NPIMap

Organization Active NPI

Windber Hospital, Inc.

Doing business as Windber Home Health

  • Home Health Agency
  • Windber, PA
National Provider Identifier
1972597854
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
744205 Issued in PA
Legal business name
WINDBER HOSPITAL, INC.
Doing business as
Windber Home Health
Practice address
427 Park Place
Windber, PA 15963-1331
Phone
(814) 467-3727
Fax
(814) 467-8692
NPI assigned
Sep 7, 2005
Last updated
Apr 12, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
WINDBER HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Mr. Richard Sukenik
Title
Cfo
Phone
(814) 467-3444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 744205 PA Primary

Addresses

Primary practice location

427 Park Place
Windber, PA 15963-1331

Mailing address

600 Somerset Ave
Windber, PA 15963-1331
Phone (814) 467-3000

Other identifiers 2

IdentifierTypeStateIssuer
0866OtherPAHIGHMARK BLUE CROSS
1007703740018MedicaidPA

Other names 1

  • Windber Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120423000388 PA Part A Provider - Home Health Agency 9234187576 Practice locations: Windber, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972597854. Details of each certification follow.

Home health agency certification: CCN 397442

Legal name
WINDBER HOSPITAL INC
Doing business as
WINDBER HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 1, 1986
Last certification
Mar 24, 2021
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Jun 29, 1973 in PA
Enrollment address
600 Somerset Ave
Windber, PA 15963-1331
HHA Branch

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Windber Home Health AgencyCCN 397442 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Apr 1, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Windber Hospital8 organizations share this tax ID, including this one
Part of
Windber Hospital

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Matthew L Bouch Individual Corporate DirectorBoard Member Jan 1, 2016
Chan Soon-Shiong Nanthealth Foundation Organization, Culver City, CA Corporation, Non-profit Other Jan 1, 2016
Charles N Kenworthy Individual Corporate DirectorBoard Member Jan 1, 2016
Thomas Kurtz Individual Corporate OfficerPresident & Ceo Oct 1, 2014
Corporate DirectorPresident & Ceo Oct 1, 2014
W-2 Managing EmployeePresident & Ceo Oct 1, 2014
Eleanor L Ramirez Individual Corporate DirectorBoard Member Jan 1, 2016
Patrick Soon-Shiong Individual Corporate DirectorBoard Member Jan 1, 2016
Richard Sukenik Individual Corporate OfficerChief Financial Officer Nov 27, 2012
Stephen C Benz Individual Corporate DirectorBoard Member Jan 1, 2016
David C Sachs Individual Corporate DirectorBoard Member Jan 1, 2016
Charles C Kim Individual Corporate DirectorBoard Member Jan 1, 2016
Jamie R Brock Individual Corporate OfficerVice President of Human Resource Sep 1, 2014
Gary Allen Palmer Individual Corporate DirectorBoard Member Jan 1, 2016
Shahrooz Rabizadeh Individual Corporate DirectorBoard Member Jan 1, 2016

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Regional Hospice at WindberWindber, PA, CCN 391541 Hospice Operational/Managerial Control (100%) Jul 1, 1990

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 10

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": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1972597854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SOMERSET AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631331",
            "telephone_number": "814-467-3000",
            "fax_number": "814-467-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 PARK PLACE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631331",
            "telephone_number": "814-467-3727",
            "fax_number": "814-467-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDBER HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINDBER HOSPITAL, INC.",
        "enumeration_date": "2005-09-07",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "SUKENIK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-467-3444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "744205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "0866",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007703740018",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windber Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windber, PA

Sources for this page

Verify at the official NPI Registry.