Provider Demographics
NPI:1053399386
Name:REGIONAL HOME HEALTH AND HOSPICE
Entity type:Organization
Organization Name:REGIONAL HOME HEALTH AND HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MEAD
Authorized Official - Suffix:
Authorized Official - Credentials:RNBSN
Authorized Official - Phone:814-866-1705
Mailing Address - Street 1:3526 PEACH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16508-2742
Mailing Address - Country:US
Mailing Address - Phone:814-866-1705
Mailing Address - Fax:814-866-1899
Practice Address - Street 1:3526 PEACH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-2742
Practice Address - Country:US
Practice Address - Phone:814-866-1705
Practice Address - Fax:814-866-1899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-06
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA02160501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1008839860001Medicaid
PA398001Medicare ID - Type UnspecifiedPROVIDER NUMBER