Provider Demographics
NPI:1760830574
Name:HOMELAND HOSPICE
Entity Type:Organization
Organization Name:HOMELAND HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:R
Authorized Official - Last Name:RAMPER
Authorized Official - Suffix:II
Authorized Official - Credentials:NHA
Authorized Official - Phone:717-221-7900
Mailing Address - Street 1:2300 VARTAN WAY STE 270
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-9720
Mailing Address - Country:US
Mailing Address - Phone:717-221-7890
Mailing Address - Fax:717-221-7891
Practice Address - Street 1:2300 VARTAN WAY STE 270
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-9720
Practice Address - Country:US
Practice Address - Phone:717-221-7890
Practice Address - Fax:717-221-7891
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOME FOR THE FRIENDLESS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-02
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA17141601251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007575940004Medicaid