Provider Demographics
NPI:1508933680
Name:HOFFMAN HOMES INC.
Entity Type:Organization
Organization Name:HOFFMAN HOMES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN DER GROEF
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:717-359-7148
Mailing Address - Street 1:815 ORPHANAGE RD
Mailing Address - Street 2:
Mailing Address - City:LITTLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17340-9329
Mailing Address - Country:US
Mailing Address - Phone:717-359-7148
Mailing Address - Fax:717-359-2600
Practice Address - Street 1:815 ORPHANAGE RD
Practice Address - Street 2:
Practice Address - City:LITTLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:17340-9329
Practice Address - Country:US
Practice Address - Phone:717-359-7148
Practice Address - Fax:717-359-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007677440002Medicaid