COUNTY HOMEMAKERS INC
Complete NPI Record 1073673216
In Home Supportive Care in Du Bois, PA
Active since December 11, 2006
Complete NPI Dataset
This page contains the complete raw NPPES record for County Homemakers Inc (NPI 1073673216), an in home supportive care organization in Du Bois, PA. All 38 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
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Registry File Document Utilities
- NPI: 1073673216 Field 1/38
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/38
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/38
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: COUNTY HOMEMAKERS INC Field 4/38
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: 801 WARRENVILLE RD STE 800 Field 5/38
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: LISLE Field 6/38
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: IL Field 7/38
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 605320912 Field 8/38
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/38
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 6302963400 Field 10/38
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 6304872713 Field 11/38
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 474 JEFFERS ST Field 12/38
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: DU BOIS Field 13/38
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: PA Field 14/38
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 158012438 Field 15/38
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 16/38
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 8143715500 Field 17/38
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 8143714070 Field 18/38
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: ANDERSON Field 21/38
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: DARBY Field 22/38
- The first name of the authorized official.
- Authorized Official Title or Position: EVP CHIEF STRATEGY OFFICER Field 23/38
- The title or position of the authorized official.
- Authorized Official Telephone Number: 6302963443 Field 24/38
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 253Z00000X Field 25/38
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: 11553601 Field 26/38
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: PA Field 27/38
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 28/38
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 253Z00000X Field 29/38
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: Y Field 30/38
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Other Provider Identifier 1: 101456533 Field 31/38
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 1: 05 Field 32/38
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 1: PA Field 33/38
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Is Organization Subpart: Y Field 34/38
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Parent Organization LBN: ADDUS HEALTH CARE INC Field 35/38
- The Legal Business Name (LBN) of the parent organization, if the provider is a subpart of a larger entity. This field identifies the official registered name of the parent company or organization under which the provider operates.
- Parent Organization TIN: Not available Field 36/38
- The Taxpayer Identification Number (TIN) of the parent organization, provided when the provider is a subpart of a larger entity. This field identifies the federal tax ID used by the parent organization for official and billing purposes.
- Authorized Official Name Prefix Text: MR. Field 37/38
- The prefix used in the name of the authorized official associated with the provider's NPI record. Examples include Mr., Ms., Mrs., Dr., or other common professional or personal prefixes.
Secondary Practice Locations 20
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
200 Liberty St Ste 11
Location 1/20Warren, PA 16365-2353 · Phone (814) 726-1888 · Fax (814) 726-3120
41 N 4th St
Location 2/20Sunbury, PA 17801-2235 · Phone (570) 495-4456 · Fax (570) 495-4456
3410 4th Ave Ste A
Location 3/20Beaver Falls, PA 15010-3574 · Phone (724) 384-1431 · Fax (724) 581-5272
321 Main St Ste 5B
Location 4/20Johnstown, PA 15901-1632 · Phone (814) 254-4738 · Fax (814) 254-4749
701 Allegheny St Ste 5
Location 5/20Jersey Shore, PA 17740-1200 · Phone (570) 865-6466 · Fax (870) 865-6384
100 Redco Ave Ste 2A
Location 6/20Red Lion, PA 17356-1436 · Phone (717) 246-2823 · Fax (717) 246-2743
2233 Ebco Dr Ste 200
Location 7/20Erie, PA 16506-6919 · Phone (814) 833-2916 · Fax (814) 833-2918
121 Stackpole Street, Suite 16
Location 8/20Saint Marys, PA 15857 · Phone (814) 245-2974 · Fax (814) 245-2976
420 3rd Ave
Location 9/20Ford City, PA 16226-1003 · Phone (724) 543-1066 · Fax (724) 548-1166
1798 Plank Rd Ste 304
Location 10/20Duncansville, PA 16635-8389 · Phone (814) 515-1024 · Fax (814) 515-1063
850 Boyce Rd Ste 6
Location 11/20Bridgeville, PA 15017-1541 · Phone (412) 914-8624 · Fax (412) 564-5734
4949 Liberty Ln Ste 140
Location 12/20Allentown, PA 18106-9058 · Phone (610) 439-2456 · Fax (610) 439-2892
118 S Kimberly Ave Ste 100
Location 13/20Somerset, PA 15501-2069 · Phone (814) 701-2272 · Fax (814) 701-2584
2D Greenfield Rd
Location 14/20Lancaster, PA 17602-3312 · Phone (717) 553-5396 · Fax (717) 553-5399
1 State St
Location 15/20Lewistown, PA 17044-1974 · Phone (717) 247-7126 · Fax (717) 953-9957
1999 Cato Ave Ste A
Location 16/20State College, PA 16801-2754 · Phone (814) 308-9160 · Fax (814) 308-8199
11957 William Penn Hwy
Location 17/20Huntingdon, PA 16652-6838 · Phone (814) 506-8274 · Fax (814) 506-8389
11294 Route 322
Location 18/20Shippenville, PA 16254-4934 · Phone (814) 297-8313 · Fax (814) 297-8019
200 N West St
Location 19/20Coudersport, PA 16915-1100 · Phone (814) 274-7500 · Fax (814) 274-7599
235 Main St
Location 20/20Brookville, PA 15825-1235 · Phone (814) 849-0855 · Fax (814) 260-4231
Other Provider Identifiers 1
Legacy and payer-issued identifiers reported to the NPPES registry for this provider.
101456533 Medicaid
Identifier 1/1State: PA
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
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