Provider Demographics
NPI:1598767899
Name:HOME HEALTH SERVICES BY THE THORNE GROUP INC
Entity Type:Organization
Organization Name:HOME HEALTH SERVICES BY THE THORNE GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:DOTT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:724-755-2124
Mailing Address - Street 1:302 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:YOUNGWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:15697-1338
Mailing Address - Country:US
Mailing Address - Phone:724-755-2124
Mailing Address - Fax:724-755-0829
Practice Address - Street 1:302 N 5TH ST
Practice Address - Street 2:
Practice Address - City:YOUNGWOOD
Practice Address - State:PA
Practice Address - Zip Code:15697-1338
Practice Address - Country:US
Practice Address - Phone:724-755-2124
Practice Address - Fax:724-755-0829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA771305251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1137OtherBLUE CROSS
PA000000141583OtherMEDPLUS PROVIDER #
PA0016767120003Medicaid
PA1137OtherBLUE CROSS