Provider Demographics
NPI:1720402449
Name:GUTHRIE HOME CARE
Entity Type:Organization
Organization Name:GUTHRIE HOME CARE
Other - Org Name:GUTHRIE HOME HEALTH NY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP, POST ACUTE CARE & HOME SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:KLEBER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, RN
Authorized Official - Phone:570-887-4356
Mailing Address - Street 1:4005 WEST RD
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045-1843
Mailing Address - Country:US
Mailing Address - Phone:607-756-3646
Mailing Address - Fax:607-687-8179
Practice Address - Street 1:4005 WEST RD
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-1843
Practice Address - Country:US
Practice Address - Phone:607-756-3646
Practice Address - Fax:607-687-8179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-17
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY12166-E251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY337449Medicare UPIN
PA397120AMedicare UPIN