PENN STATE HEALTH HOME RECOVERY CARE, LLC
NPI 1114672409
Case Management in Hershey, PA
NPI Status: Active since February 16, 2022
Contact Information
500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033
Phone: (800) 243-1455
- Organization
- Case Management
- CLIA Number: 39D1084302
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 08-28-2026
About PENN STATE HEALTH HOME RECOVERY CARE, LLC
This page provides the complete NPI Profile along with additional information for Penn State Health Home Recovery Care, Llc, a provider established in Hershey, Pennsylvania operating as a Case Management. The healthcare provider is registered in the NPI registry with number 1114672409 assigned on February 2022. The practitioner's primary taxonomy code is 251B00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Elisa Harris (General Counsel)
- NPI
- 1114672409
- Provider Name
- PENN STATE HEALTH HOME RECOVERY CARE, LLC
- Entity Type
- Organization
- Location Address
- 500 UNIVERSITY DR HERSHEY, PA 17033
- Location Phone
- (800) 243-1455
- Mailing Address
- 49 MUSIC SQ W NASHVILLE, TN 37203
- Mailing Phone
- (615) 635-0294
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-16-2022
- Last Update Date
- 02-16-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Case Management
- Taxonomy Code
- 251B00000X
- Type
- Agencies
- Taxonomy Description
- An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D1084302
- Facility Type
- Community Clinic
- Certificate Effective Date
- August 29, 2024
- Certificate Expiration Date
- August 28, 2026
- Laboratory Director
- DR. YUSHENG ZHU
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Penn State Health Home Recovery Care, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 6 | 7 | 2 | 4 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 12 | 7 | 4 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 2 + 7 + 4 + 4 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1114672409 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
HY J DEPAMPHILIS MD
Internal Medicine
500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033
DR. JOY CELESTE COTTON M.D.
Internal Medicine
(Cardiovascular Disease)
500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033
DR. CLAUDE FANELLI M.D.
Internal Medicine
(Cardiovascular Disease)
500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033
DEBRA BYLER MD
Psychiatry & Neurology
(Neurology)
500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033
MRS. CATHERINE ANNE RODEN PA-C
Physician Assistant
(Medical)
500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033
DR. JULIE ANN RHOADES AU.D.
Audiologist
500 UNIVERSITY DR
UPC I, SUITE 700, MC HU10
HERSHEY, PA
ZIP 17033
DR. MICHELE LESLIE GERRISH AU.D.
Audiologist
500 UNIVERSITY DR
UPC1 SUITE 700
HERSHEY, PA
ZIP 17033
KRISTINE L FORTUNA MD
Orthopaedic Surgery
500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033
MICHAEL D DETTORRE DO
Pediatrics
(Pediatric Critical Care Medicine)
500 UNIVERSITY DR
M.S.HERSHEY MEDICAL CENTER
HERSHEY, PA
ZIP 17033
DAVID SOYBEL MD
Surgery
500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033
MRS. BARBARA HENCH GOODYEAR CRNA
Nurse Anesthetist, Certified Registered
500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033
DR. CHARLES SHERMAN SPECHT M.D.
Pathology
(Anatomic Pathology)
500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033
MRS. CHRISTINE H BRUCE PA C MHSA
Physician Assistant
500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033
KARL MATTHEW FELSHEIM PA-C
Physician Assistant
(Medical)
500 UNIVERSITY DR
H053
HERSHEY, PA
ZIP 17033
MICHELLE MARIE SPONG PA-C
Physician Assistant
(Medical)
500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033
MRS. BROOKE MICHELLE OLENOWSKI PA-C
Physician Assistant
500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033
SINISA DOVAT MD
Pediatrics
(Pediatric Hematology-Oncology)
500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033
NANCY J OLSEN MD
Internal Medicine
(Rheumatology)
500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033
BARBARA ANN BIRRIEL CRNP
Nurse Practitioner
(Acute Care)
500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033
RONALD RUBINSTEIN PT
Physical Therapist
500 UNIVERSITY DR
EC 130
HERSHEY, PA
ZIP 17033
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114672409, enumerated as an "organization" on February 16, 2022.
The provider is located at 500 UNIVERSITY DR HERSHEY, PA 17033 and the phone number is (800) 243-1455.
Case Management with taxonomy code 251B00000X.
