PROFESSIONAL HOME CARE (NPI# 1366837569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366837569 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL HOME CARE |
| Practice Address |
601 Riverside Dr Johnson City NY 13790-2544 |
| Practice Telephone | 6077635600 |
| Practice Fax Number | 6077635582 |
| Mailing Telephone | 6077635600 |
| Mailing Fax Number | 6077635582 |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |
| Authorized Official Name | GREG RITTENHOUSE (VICE-PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 6077635600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 0055L001 | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01762014 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669634754 | Professional Home Care | Home Health | 713 George St Ste 2, New Haven, CT 06511-5207 | 2008-06-30 |
| 1518099167 | Professional Home Care | Nursing Care | 3318 Lakeside Dr, Eugene, OR 97401-1592 | 2007-03-09 |
| 1629192398 | Professional Home Care | Home Health | 2010 Byers St, Batesville, AR 72501-6039 | 2007-03-19 |
| 1720014491 | Professional Home Care | Home Health | 2000 Harrison St, Suite E, Batesville, AR 72501-7442 | 2006-06-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Professional Home Care LLC | 211 Fulp Farm Rd, Kernersville, NC 27284 |
| Virginia Business Entities | Professional Home Care Services LLC | 6997 Porters Rd, Esmont, Virginia 22937 |
| Oregon Corporations, Companies and Business Names | PROFESSIONAL HOME CARE SERVICES, INC. | 16370 Ne Thompson St, Portland, OR 97230 |
| Massachusetts Corporations | PROFESSIONAL HOME CARE SERVICES, INC. | 100 Clearbrook Road, Elmsford, NY 10053 |
| New York State Corporations | PROFESSIONAL HOME CARE, INC. | 601 Riverside Drive, Johnson City, Ny 13790 |
| Street Address |
601 RIVERSIDE DR |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033110424 | Galen Graham | Internal Medicine | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2005-08-09 |
| 1336413517 | Project Hear, Inc | Emergency Response System Companies | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2012-03-06 |
| 1700057742 | William G Waldron | Pharmacist | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2008-03-18 |
| 1366626434 | Joyce M Smith | Pharmacist | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2007-12-24 |
| 1639292741 | Preeti Jhaveri | Obstetrics & Gynecology | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2007-04-06 |
| 1205873387 | Tamara Burger | Advanced Practice Midwife | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2006-05-31 |
| 1821089517 | Donna Lee Gardner | Nurse Practitioner | 601 Riverside Dr, United Medical Associates PC, Johnson City, NY 13790-2544 | 2005-11-02 |
| 1982699252 | Professional Home Care Inc | Durable Medical Equipment & Medical Supplies | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2005-09-13 |
| 1841284387 | Edward D Miller | Internal Medicine | 601 Riverside Dr, United Medical Associates PC, Johnson City, NY 13790-2544 | 2005-09-09 |
| 1629078928 | Christopher Demtrak | Pediatrics | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2005-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| 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 |
|---|---|---|---|---|
| 1962786780 | Susquehanna Home Health Care Agency | Home Health | 270 Riverside Dr, Johnson City, NY 13790-2739 | 2011-09-29 |
| 1093977118 | Beth Parks Physical Therapy Services, PC | Home Health | 257 Pollard Hill Rd, Johnson City, NY 13790-4206 | 2008-06-30 |
| 1417030404 | Mountain States Health Alliance | Home Health | 509 Med Tech Pkwy Ste 200, Johnson City, TN 37604 | 2006-10-23 |
| 1548376718 | Mountain States Health Alliance | Home Health | 509 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-2578 | 2006-08-21 |
| 1649295437 | Nhc-op, L.p. | Home Health | 1617 W Market St Ste A, Johnson City, TN 37604-4903 | 2006-07-13 |
| 1942258769 | Amedisys Tennessee, LLC | Home Health | 2913 Boones Creek Rd, Suite 6, Johnson City, TN 37615-4997 | 2006-05-04 |
| 1225008675 | Ashland Development Incorporated | Home Health | 2315 Silverdale Dr, Johnson City, TN 37601-2162 | 2006-01-26 |
| 1760489405 | Twin Tier Home Health, Inc. | Home Health | 601 Riverside Drive, Johnson City, NY 13790 | 2005-07-07 |
| 1740676147 | Maxim Healthcare Services, Inc. | Home Health | 208 Sunset Dr, Suite 503, Johnson City, TN 37604-2517 | 2015-04-13 |
| 1841695244 | Help At Home, Inc | Home Health | 2 Worth Cir, Suite 1, Johnson City, TN 37601-4304 | 2014-10-28 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
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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.