Provider Demographics
NPI:1982609806
Name:ANEW HOME HEALTH AGENCY, INC.
Entity Type:Organization
Organization Name:ANEW HOME HEALTH AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOWELLS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:724-465-9224
Mailing Address - Street 1:9344 ROUTE 286 HWY E
Mailing Address - Street 2:PO BOX 193
Mailing Address - City:CLYMER
Mailing Address - State:PA
Mailing Address - Zip Code:15728-7310
Mailing Address - Country:US
Mailing Address - Phone:724-465-9224
Mailing Address - Fax:724-465-9228
Practice Address - Street 1:9344 ROUTE 286 HWY E
Practice Address - Street 2:
Practice Address - City:CLYMER
Practice Address - State:PA
Practice Address - Zip Code:15728-7310
Practice Address - Country:US
Practice Address - Phone:724-465-9224
Practice Address - Fax:724-465-9228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA77640501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019095380002Medicaid
PA1535790OtherGATEWAY PARTICIPATING PROVIDER
PA1700OtherHIGHMARK PROVIDER NUMBER
PA070044100OtherBLACK LUNG PROVIDER NUMBE
PA000000138136OtherMEDPLUS/3 RIVERS PROV. NO
PA000000138136OtherMEDPLUS/3 RIVERS PROV. NO
PA0019095380002Medicaid
PA0019095380002Medicaid
PA397764Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER