ALLEGHENY HEALTH NETWORK HOME INFUSION LLC (NPI# 1033111208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033111208 |
| Entity Type | Organization |
| Organization Name | ALLEGHENY HEALTH NETWORK HOME INFUSION LLC |
| Other Organization Name | VANTAGE HME LIMITED |
| Practice Address |
1305 S Main St Meadville PA 16335-3036 |
| Practice Telephone | 8556932286 |
| Practice Fax Number | 8887044877 |
| Mailing Telephone | 8556932286 |
| Mailing Fax Number | 8887044877 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-02-07 |
| Authorized Official Name | MS. MARY JO HUNTER (PRESIDENT) |
| Authorized Official Telephone | 8143370000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PP413955L83105 | PA | Suppliers |
| Y | 251F00000X | Home Infusion | PP413955L | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007613480002 | 05 | |
| NCPDP | 3968647 | 01 |
| Other Name | Type Code |
|---|---|
| Vantage HME Limited | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700427002 | Allegheny Health Network Home Infusion LLC | Pharmacy | 311 23rd Street Ext Ste 500, Sharpsburg, PA 15215-2821 | 2019-10-08 |
| 1780046284 | Allegheny Health Network Home Infusion LLC | Pharmacy | 311 23rd Street Ext # 500, Sharpsburg, PA 15215-2821 | 2016-03-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALLEGHENY HEALTH NETWORK HOME INFUSION LLC | 1305 S Main St, Meadville, PA 16335-3036 |
| Street Address |
1305 S MAIN ST |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-3036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881931087 | Gregg Robert Theiss | Pharmacist | 1305 S Main St, Meadville, PA 16335-3036 | 2013-01-08 |
| 1205150786 | Francine Joan Urbanick | Pharmacist | 1305 S Main St, Meadville, PA 16335-3036 | 2010-03-26 |
| 1366771156 | Troy Ryan Harris | Pharmacist | 1305 S Main St, Meadville, PA 16335-3036 | 2009-12-08 |
| 1821325531 | Julianne Sommers | Pharmacist | 1305 S Main St, Meadville, PA 16335-3036 | 2009-11-17 |
| 1073550042 | Vantage Ltc Limited | Pharmacy | 1305 S Main St, Meadville, PA 16335-3036 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| Taxonomy Code | 251F00000X |
| Grouping | Agencies |
| Classification | Home Infusion |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784192 | Reliable Medical Staffing LLC | Home Infusion | 761 W Haverford Rd, Bryn Mawr, PA 19010-3114 | 2020-09-11 |
| 1467091835 | Ayodiran Ayorinde | Home Infusion | 1489 Baltimore Pike Ste 305, Springfield, PA 19064-3958 | 2020-01-02 |
| 1235679713 | Arya Holdings, LLC | Home Infusion | 351 E Conestoga Rd, Suite 204, Wayne, PA 19087-2508 | 2017-03-02 |
| 1811432313 | Destiny Empowerment House and Groups LLC | Home Infusion | 5013 Pine Ridge Rd S, East Stroudsburg, PA 18302-8669 | 2016-12-20 |
| 1013462480 | East Goshen Pharmacy, Inc. | Home Infusion | 3419 Concord Rd, York, PA 17402-9001 | 2016-08-16 |
| 1770966749 | Bank Home Care Services | Home Infusion | 230 Fairhill St, Willow Grove, PA 19090-2647 | 2015-07-08 |
| 1932516713 | Infusion Logistics, LLC | Home Infusion | 332 Ardmore Ave, Ardmore, PA 19003-1012 | 2014-07-14 |
| 1245650431 | Golden Point Home Health Care | Home Infusion | 2030 S Bouvier St, Philadelphia, PA 19145-2910 | 2014-04-26 |
| 1437455474 | Healthcare Evolution LLC | Home Infusion | 649 N Lewis Rd Ste 230a, Royersford, PA 19468-1234 | 2011-02-09 |
| 1932400835 | Executive Home Care Services, Inc. | Home Infusion | 5246 Forbes Ave, Pittsburgh, PA 15217-1102 | 2010-11-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.