123 PEDIATRIC HOME HEALTHCARE CORPORATION (NPI# 1245696434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245696434 |
| Entity Type | Organization |
| Organization Name | 123 PEDIATRIC HOME HEALTHCARE CORPORATION |
| Practice Address |
6309 Hallwood Dr Verona PA 15147-2526 |
| Practice Telephone | 4123779102 |
| Mailing Telephone | 4123779102 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2018-04-18 |
| Authorized Official Name | MRS. LISA JUANITA WASHINGTON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4123779102 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
CW017087 | PA | Behavioral Health & Social Service Providers |
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
RN620599 | PA | Nursing Service Providers |
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
RN620599 | PA | Nursing Service Providers |
| N | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
RN620599 | PA | Nursing Service Providers |
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
RN620599 | PA | Nursing Service Providers |
| N | 163WP0218X |
Registered Nurse Specialization: Pediatric Oncology |
RN620599 | PA | Nursing Service Providers |
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
RN620599 | PA | Nursing Service Providers |
| N | 163WX0200X |
Registered Nurse Specialization: Oncology |
RN620599 | PA | Nursing Service Providers |
| N | 251B00000X | Case Management | 06400501 | PA | Agencies |
| N | 251F00000X | Home Infusion | 06400501 | PA | Agencies |
| N | 251J00000X | Nursing Care | 06400501 | PA | Agencies |
| N | 251J00000X | Nursing Care | RN620599 | PA | Agencies |
| N | 253Z00000X | In Home Supportive Care | 30153601 | PA | Agencies |
| Y | 251E00000X | Home Health | 06400501 | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | STATE OF PA DHS OFFICE OF INTELLECTUAL DISABILITIES PROVIDER NUM | 1030784200001 | 01 |
| PA | STATE OF PENNSYLVANIA | 06400501 | 01 |
| PA | STATE OF PA DHS OFFICE OF LONG TERM LIVING PROVIDER NUMBER | 1030784200002 | 01 |
| PA | STATE OF PENNSYLVANIA | 30153601 | 01 |
| Street Address |
6309 HALLWOOD DR |
| City | VERONA |
| State | PA |
| Zip Code | 15147-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912362203 | Lisa Juanita Washington | Registered Nurse | 6309 Hallwood Dr, Verona, PA 15147-2526 | 2015-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265936892 | H & A Smith Enterprises LLC | Home Health | 3049 Greenridge Dr, Verona, PA 15147 | 2018-03-20 |
| 1174910178 | Adam Cheney | Physical Therapist | 96 Allegheny River Blvd., Verona, PA 15147 | 2015-04-17 |
| 1609206440 | Nancy A Carpenter | Family Medicine | 222 Arch Street, Suite A, Verona, PA 15147 | 2013-11-14 |
| 1295806370 | Mark Alan Antonucci | Dentist | 5745 Saitsburg Road, Verona, PA 15147 | 2006-11-13 |
| 1346648102 | Jessica Brucker | Family Medicine | 5769 Saltsburg Rd, Verona, PA 15147 | 2014-12-10 |
| 1114980323 | Sally Coll | Physical Therapist | 96 Allegheny River Blvd, Verona, PA 15147-1046 | 2006-04-10 |
| 1972955136 | Thomas Svec | Physical Therapist | 96 Allegheny River Blvd, Verona, PA 15147-1046 | 2016-07-12 |
| 1730593534 | Jamie Powers | Physical Therapist | 96 Allegheny River Blvd, Verona, PA 15147-1046 | 2014-06-19 |
| 1558706242 | Kelsey Margaret Downes | Physical Therapist | 96 Allegheny River Blvd, Verona, PA 15147-1046 | 2013-05-08 |
| 1023076247 | Norman Gustafson | Occupational Therapist | 96 Allegheny River Blvd, Verona, PA 15147-1046 | 2006-05-04 |
| Find all providers in zip 15147 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942827928 | Smiling Faces Home Health LLC | Home Health | 222 Midnight Pass Apt 307, Verona, WI 53593-9484 | 2020-06-25 |
| 1982220489 | Rms Global Care | Home Health | 100 Berkley Rd Apt 11, Verona, WI 53593-1804 | 2020-06-19 |
| 1972075547 | In Home Care Helping Hands LLC | Home Health | 7494 Farm Road 1142, Verona, MO 65769-7182 | 2018-12-20 |
| 1265936892 | H & A Smith Enterprises LLC | Home Health | 3049 Greenridge Dr, Verona, PA 15147 | 2018-03-20 |
| 1700331717 | Lb Quality Plus Nurses, Inc. | Home Health | 69 Fairview Ave, Verona, NJ 07044-1316 | 2016-08-19 |
| 1871983403 | Loving Indeed Quality Home Care LLC | Home Health | 8337 Pierce St, Verona, PA 15147-1631 | 2015-02-04 |
| 1952672727 | Bayada Home Health Care, Inc. | Home Health | 25 Pompton Ave Ste 206, Verona, NJ 07044-2940 | 2012-01-25 |
| 1982707493 | Personnel Finders, Inc. | Home Health | 25 Pompton Avenue, #202, Verona, NJ 07044-2938 | 2006-09-07 |
| 1386173045 | Quality Touch Home Care LLC | Home Health | 460 Bloomfield Ave, Verona, NJ 07044-2006 | 2017-06-07 |
| 1629435433 | Nation Star Home Health Care LLC | Home Health | 201 Bloomfield Ave, Verona, NJ 07044-2714 | 2016-01-25 |
| Find all providers in VERONA | ||||
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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.