OrganizationActive
Private Practice
NPI 1093122954 · In Home Supportive Care Agency · Fredericktown, PA
Private Practice is a In Home Supportive Care Agency organization in Fredericktown, PA (NPI 1093122954).
Provider details
- NPI number
- 1093122954
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kelly Mcconnell, RN(724) 322-7745
- License
- RN320432L (PA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
202 Fishpot Rd
Fredericktown, PA 15333-2203
Phone: (724) 322-7745
Street-level locationGet directions
Mailing address
202 Fishpot Rd
Fredericktown, PA 15333-2203
Registry dates
- Enumerated
- 2014-07-11
- Last updated
- 2014-07-11
Frequently asked questions
- What is Private Practice's NPI number?
- Private Practice's National Provider Identifier (NPI) is 1093122954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Private Practice?
- Private Practice is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Private Practice located?
- Private Practice's practice location on file with NPPES is 202 Fishpot Rd, Fredericktown, PA 15333-2203.
- What is Private Practice's phone number?
- The practice phone number listed in the NPPES registry for Private Practice is (724) 322-7745.
- Who is the authorized official for Private Practice?
- The authorized official listed on Private Practice's NPPES record is Kelly Mcconnell, RN. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Private Practice's NPI active?
- Yes — Private Practice's NPI (1093122954) is active in the NPPES registry as of the last update on 2014-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.