Healthcare Provider Details

I. General information

NPI: 1811135023
Provider Name (Legal Business Name): HOHMANN'S PERSONAL CARE HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2009
Last Update Date: 01/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1219 FOREST AVE
NEW KENSINGTON PA
15068-5713
US

IV. Provider business mailing address

1219 FOREST AVE
NEW KENSINGTON PA
15068-5713
US

V. Phone/Fax

Practice location:
  • Phone: 724-335-2372
  • Fax:
Mailing address:
  • Phone: 724-335-2372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number428700
License Number StatePA

VIII. Authorized Official

Name: PATRICIA HOHMANN
Title or Position: ADMINISTRATOR
Credential:
Phone: 724-335-2372