HICKORY CREEK HOME CARE, LLC (NPI# 1558929984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558929984 |
| Entity Type | Organization |
| Organization Name | HICKORY CREEK HOME CARE, LLC |
| Practice Address |
315 2nd Ave Ste 311 Warren PA 16365-2433 |
| Practice Telephone | 8144069921 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |
| Authorized Official Name | JILL COREY (COO) |
| Authorized Official Telephone | 8148662919 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1031027870001 | 05 |
| Street Address |
315 2ND AVE STE 311 |
| City | WARREN |
| State | PA |
| Zip Code | 16365-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
| 1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
| 1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
| 1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
| 1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
| 1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| Find all providers in zip 16365 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289951 | Charles Hamm | In Home Supportive Care | 7913 Glen Oaks Dr Ne, Warren, OH 44484-1575 | 2020-09-13 |
| 1255959557 | Leeda Northeast, Inc. | In Home Supportive Care | 1441 Parkman Rd Nw, Warren, OH 44485-2156 | 2020-07-13 |
| 1407416878 | Sos Home Care LLC | In Home Supportive Care | 28677 Ryan Rd, Warren, MI 48092-4124 | 2019-06-18 |
| 1043775950 | Shannon Monique Foster | In Home Supportive Care | 884 Dana St Ne, Warren, OH 44483-3914 | 2019-02-05 |
| 1336652973 | Elements of Wellness LLC | In Home Supportive Care | 3005 E 11 Mile Rd Ste B, Warren, MI 48092-3523 | 2017-11-06 |
| 1700313046 | Assured Medical Care LLC | In Home Supportive Care | 400 Niles Cortland Rd Se Ste D, Warren, OH 44484-5719 | 2017-05-17 |
| 1295183572 | Mommas Babys | In Home Supportive Care | 7004 Paige Ave, Warren, MI 48091-2647 | 2016-05-27 |
| 1639526361 | Quality Mobile Homecare | In Home Supportive Care | 8611 Lozier Ave, Warren, MI 48089-1748 | 2016-05-23 |
| 1841674918 | My Independent Living Inc. | In Home Supportive Care | 29417 Hoover Rd, Warren, MI 48093-3480 | 2015-07-17 |
| 1477944072 | Family & Friends Home Care LLC. | In Home Supportive Care | 290 W Market St, Warren, OH 44481-1025 | 2015-02-18 |
| Find all providers in WARREN | ||||
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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.