CHURCH ROAD HOME LLC (NPI# 1407465214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407465214 |
| Entity Type | Organization |
| Organization Name | CHURCH ROAD HOME LLC |
| Practice Address |
1669 Church Rd Hershey PA 17033-1812 |
| Mailing Address |
201 Trail Rd Hershey PA 17033-9425 |
| Practice Telephone | 7175252156 |
| Mailing Telephone | 7177124578 |
| Mailing Fax Number | 7173128903 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | JAMES D GAINER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7177124578 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 6701495233 | 05 |
| Other Name | Type Code |
|---|---|
| Church Road Home LLC | Doing Business As Name - Organization |
| Street Address |
1669 CHURCH RD |
| City | HERSHEY |
| State | PA |
| Zip Code | 17033-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891264578 | Sherpa Sleep Solutions LLC | Durable Medical Equipment & Medical Supplies | 20 Briarcrest Square, Suite 207, Hershey, PA 17033 | 2018-11-25 |
| 1366933186 | Benjamin Abney | General Practice | Hershey Medical Center, 500 University Drive, Hershey, PA 17033 | 2018-05-29 |
| 1174014062 | Sean Nutting | Student in an Organized Health Care Education/Training Program | 500 University Dr Dept Of, Hershey, PA 17033 | 2018-05-25 |
| 1447751144 | Elizabeth Ashley Lohman | Specialist/Technologist | 665 Brook Drive, Hershey, PA 17033 | 2018-02-27 |
| 1376056382 | Yilmarie Mercado Vargas | Student in an Organized Health Care Education/Training Program | Penn State Health Milton Hershey Medical Center, 500 University Dr, Hershey, PA 17033 | 2017-11-13 |
| 1730603440 | Aleksandr Sviatchenko | Student in an Organized Health Care Education/Training Program | Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, Pa, PA 17033 | 2017-08-03 |
| 1598293979 | Andrea Rae Hiller | Plastic Surgery | 500 University Dr # Mch071, Hershey, PA 17033 | 2017-05-30 |
| 1649706649 | Natalia Katarzyna Pierwola-gawin | Physical Therapist | 500 University Dr. Mc A410, Hershey, PA 17033 | 2017-05-11 |
| 1205380854 | Joseph Soon Park | Student in an Organized Health Care Education/Training Program | 200 Campus Drive, Suite 3100, Hershey, PA 17033 | 2016-08-12 |
| 1437505096 | Lynnlee Christine Depicolzuane | Pediatrics | 600 University Drive, Hershey, PA 17033 | 2016-05-12 |
| Find all providers in zip 17033 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639594 | Williamina Lebaga | Home Health Aide | 4032 Markland St, Philadelphia, PA 19124-5330 | 2020-11-03 |
| 1205437837 | Bethel Inc | Home Health Aide | 2001 N Front St Ste 214, Harrisburg, PA 17102-2189 | 2020-11-01 |
| 1912505645 | Maria N Gregg | Home Health Aide | 302 Mckinley St, Pittsburgh, PA 15210-3314 | 2020-10-14 |
| 1528665098 | Ashley Burgess | Home Health Aide | 1071 Penn Cir Apt G310, King of Prussia, PA 19406-1167 | 2020-10-07 |
| 1104433994 | Sean A Maddox | Home Health Aide | 6015 N American St, Philadelphia, PA 19120-1807 | 2020-09-25 |
| 1114533528 | Top Notch Home Care LLC | Home Health Aide | 6328 Glenloch St, Philadelphia, PA 19135-3204 | 2020-09-21 |
| 1043824261 | Apollo Bey | Home Health Aide | 544 Paulson Ave, Pittsburgh, PA 15206-3256 | 2020-09-04 |
| 1689287971 | Michelle Elizabeth Bredbenner | Home Health Aide | 701 Main St Ste 2, Slatington, PA 18080-1728 | 2020-08-26 |
| 1649882937 | Hanks Home Care, LLC | Home Health Aide | 2747 Macarthur Rd, Whitehall, PA 18052-3632 | 2020-08-19 |
| 1952912966 | Chelleys Passionate Caretakers LLC | Home Health Aide | 607 Willow Way Apt 2, Glenolden, PA 19036-2201 | 2020-08-12 |
| 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.