PRIVATE PRACTICE
NPI 1093122954
In Home Supportive Care in Fredericktown, PA

Active since July 11, 2014
202 FISHPOT RD, FREDERICKTOWN, PA 15333(724) 322-7745 Get Directions Write a Review

NPPES record last updated: July 11, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Private Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIVATE PRACTICE (NPI 1093122954) is a healthcare organization registered as an in home supportive care in Fredericktown, Pennsylvania and active in the NPI registry since July 2014. The organization lists Kelly Mcconnell, Rn, as its authorized official.

NPPES Registry Identity

NPI1093122954
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NamePRIVATE PRACTICE
Location Address202 FISHPOT RDFredericktown, PA 15333-2203
Mailing Address202 Fishpot RdFredericktown, PA 15333-2203
Organization SubpartNo
Authorized OfficialKelly McconnellRn · (724) 322-7745
Enumeration DateJuly 11, 2014
NPI 1093122954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
License Licensed in PA · RN320432L
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
202 FISHPOT RD, Fredericktown, PA 15333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Private Practice's NPI number?

The NPI number for Private Practice is 1093122954. It was assigned to this organization in the NPPES registry on July 11, 2014.

Where is Private Practice located?

Private Practice is located at 202 Fishpot Rd, Fredericktown, PA 15333. The listed phone number is (724) 322-7745.

What is Private Practice's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Private Practice was last updated on July 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.