123 Pediatric Home Healthcare Corporation
In Home Supportive Care Agency in Verona, Pennsylvania
NPI 1245696434
123 Pediatric Home Healthcare Corporation is a In Home Supportive Care Agency based in Verona, PA. 123 Pediatric Home Healthcare Corporation practices in Verona, PA. The NPI Number for 123 Pediatric Home Healthcare Corporation is 1245696434 and holds a License No. CW017087 (Pennsylvania).
The current practice location address for 123 Pediatric Home Healthcare Corporation is 6309 Hallwood Dr, Verona, PA and can be reached out via phone at 412-377-9102.
Location: 6309 Hallwood Dr, Verona, PA, 15147-2526
Provider Profile Details
NPI Number
1245696434
Provider Name
123 Pediatric Home Healthcare Corporation
Credential
Provider Entity Type
Organization
Address
6309 Hallwood Dr, Verona, PA, 15147-2526
Phone Number
412-377-9102
Fax Number
Provider Enumeration Date
01/05/2016
Last Update Date
03/13/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1030784200001 | 01 | PA | STATE OF PA DHS OFFICE OF INTELLECTUAL DISABILITIES PROVIDER NUMBER |
| 06400501 | 01 | PA | STATE OF PENNSYLVANIA |
| 30153601 | 01 | PA | STATE OF PENNSYLVANIA |
| 1030784200002 | 01 | PA | STATE OF PA DHS OFFICE OF LONG TERM LIVING PROVIDER NUMBER |
Provider Business Practice Location Address Details
Address
6309 Hallwood Dr
City
State
Zip
15147-2526
Phone Number
412-377-9102
Fax Number
Provider Business Mailing Address Details
Address
6309 Hallwood Dr
City
State
Zip
15147-2526
Phone Number
412-377-9102
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
RN620599 (Pennsylvania)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
06400501 (Pennsylvania)
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
License No.
06400501 (Pennsylvania)
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Infusion Therapy
Taxonomy
License No.
06400501 (Pennsylvania)
Definition
Definition to come...
Provider's Taxonomy Details 5
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
License No.
06400501 (Pennsylvania)
Definition
Definition to come...
Provider's Taxonomy Details 6
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatric Oncology
Taxonomy
License No.
RN620599 (Pennsylvania)
Definition
Definition to come...
Provider's Taxonomy Details 7
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Wound Care
Taxonomy
License No.
RN620599 (Pennsylvania)
Definition
Definition to come...
Provider's Taxonomy Details 8
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Oncology
Taxonomy
License No.
RN620599 (Pennsylvania)
Definition
Definition to come...
Provider's Taxonomy Details 9
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
License No.
RN620599 (Pennsylvania)
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Provider's Taxonomy Details 10
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
RN620599 (Pennsylvania)
Definition
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.
Provider's Taxonomy Details 11
Type
Agencies
Classification
Home Infusion
Speciality
-
Taxonomy
License No.
RN620599 (Pennsylvania)
Definition
Definition to come...
Provider's Taxonomy Details 12
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
License No.
RN620599 (Pennsylvania)
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Provider's Taxonomy Details 13
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
License No.
CW017087 (Pennsylvania)
Definition
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.
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