Provider Demographics
NPI:1821655747
Name:HOME INSITE LLC
Entity Type:Organization
Organization Name:HOME INSITE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:MALZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-496-5998
Mailing Address - Street 1:16 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17023-2001
Mailing Address - Country:US
Mailing Address - Phone:717-496-5998
Mailing Address - Fax:717-905-2453
Practice Address - Street 1:16 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ELIZABETHVILLE
Practice Address - State:PA
Practice Address - Zip Code:17023-2001
Practice Address - Country:US
Practice Address - Phone:717-496-5998
Practice Address - Fax:717-905-2453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-27
Last Update Date:2019-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care