CCN: 398223 NPI: 1164859500 Organization

MOG HOME HEALTHCARE SERVICES

649 SOUTH AVE UNIT 8
SECANE, PA 190183541

Contact Information

Phone 4842784805
Fax 4842784806
Enumeration Date 2013-10-01
Last Updated 2024-10-15

Taxonomies

Code: 163W00000X License State: PA License: 05020501
Code: 164W00000X License State: PA License: 05020501
Code: 225100000X License State: PA License: 05020501
Code: 251F00000X License State: PA License: 05020501
Code: 225X00000X License State: PA License: 05020501
Code: 251J00000X License State: PA License: 05020501
Code: 235Z00000X License State: PA License: 05020501
Code: 251E00000X (Primary) License State: PA License: 05020501

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 33874

providerType 36

specialPaymentIndicator

carrierCode 12502

localityCode 01