Provider Demographics
NPI:1659443158
Name:UPMC HOME HEALTHCARE OF CENTRAL PENNSYLVANIA
Entity Type:Organization
Organization Name:UPMC HOME HEALTHCARE OF CENTRAL PENNSYLVANIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-778-4606
Mailing Address - Street 1:201 CHESTNUT AVE
Mailing Address - Street 2:HOME HEALTH
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-4927
Mailing Address - Country:US
Mailing Address - Phone:814-946-5411
Mailing Address - Fax:814-942-1673
Practice Address - Street 1:20 SHERATON DR
Practice Address - Street 2:HOME HEALTH
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-9316
Practice Address - Country:US
Practice Address - Phone:814-941-1384
Practice Address - Fax:814-941-1627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA708705251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1018267OtherGATEWAY
PA1736OtherBLUE SHIELD
PA300187OtherUPMC FOR YOU - BEST
PA1007767800014Medicaid
PA1020805OtherACM
PA58159OtherGEISINGER
PA0739OtherHIGHMARK
PA1007767800063Medicaid
PA1007767800014Medicaid