Provider Demographics
NPI:1164244760
Name:HANES, JOSEPH
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:HANES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 S BELMONT RD
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:PA
Mailing Address - Zip Code:17562-9766
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:257 S BELMONT RD
Practice Address - Street 2:
Practice Address - City:PARADISE
Practice Address - State:PA
Practice Address - Zip Code:17562-9766
Practice Address - Country:US
Practice Address - Phone:717-824-1869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-26
Last Update Date:2024-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care