BROOKDALE HOSPICE OF PHILADELPHIA LLC (NPI# 1245677020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245677020 |
| Entity Type | Organization |
| Organization Name | BROOKDALE HOSPICE OF PHILADELPHIA LLC |
| Other Organization Name | BROOKDALE HOSPICE |
| Practice Address |
995 Old Eagle School Rd Suite 315 Wayne PA 19087-1709 |
| Mailing Address |
111 Westwood Pl Brentwood TN 37027-5021 |
| Practice Telephone | 6103371101 |
| Mailing Telephone | 6152212250 |
| Mailing Fax Number | 6152212280 |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2020-05-12 |
| Authorized Official Name | DONNIS M. EVANS (MANAGER, REGULATORY PRACTICES) |
| Authorized Official Telephone | 6155648181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 17161601 | PA | Agencies |
| Other Name | Type Code |
|---|---|
| Brookdale Hospice | Doing Business As Name - Organization |
| Street Address |
995 OLD EAGLE SCHOOL RD SUITE 315 |
| City | WAYNE |
| State | PA |
| Zip Code | 19087-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001718 | Robert Carmen Rose | Dentist | 995 Old Eagle School Rd, Suite 305, Wayne, PA 19087-1709 | 2005-05-24 |
| 1225380199 | Evidia Biosciences Inc - Pa | Clinical Medical Laboratory | 995 Old Eagle School Rd, 310, Wayne, PA 19087-1709 | 2012-10-02 |
| 1386965879 | Innovative Senior Care Home Health of Philadelphia LLC | Home Health | 995 Old Eagle School Rd, Suite 314, Wayne, PA 19087-1709 | 2010-06-18 |
| 1669622148 | Susan Seo | Dermatology | 995 Old Eagle School Rd, Wayne, PA 19087-1709 | 2008-09-22 |
| 1386868586 | Steven R Hart | Dentist | 995 Old Eagle School Rd, Suite 305, Wayne, PA 19087-1709 | 2007-04-12 |
| 1497787246 | Main Line Dermatology, Inc. | Specialist | 995 Old Eagle School Rd, Suite 304-f, Wayne, PA 19087-1709 | 2006-07-06 |
| 1447297502 | David Patrick Manion | Dermatology | 995 Old Eagle School Rd, Suite 304-f, Wayne, PA 19087-1709 | 2006-05-31 |
| 1326039413 | Michael D Damiano | Specialist | 995 Old Eagle School Rd, Suite 304-f, Wayne, PA 19087-1709 | 2005-10-29 |
| 1235120320 | Scott N Schafrank | Specialist | 995 Old Eagle School Rd, Suite 304-f, Wayne, PA 19087-1709 | 2005-10-29 |
| 1053302141 | Jamea E Campbell | Specialist | 995 Old Eagle School Rd, Suite 304-f, Wayne, PA 19087-1709 | 2005-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037455 | Melissa Chipollini | Counselor | 487 Devon Park, Wayne, PA 19087 | 2020-06-11 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1538654363 | Brightview Wayne, LLC | Alzheimer Center (Dementia Center) | 301 E. Conestoga Road, Wayne, PA 19087 | 2018-06-25 |
| 1396234076 | Life Clinic of Pa PC | Physical Therapist | 700 E. Swedesford Rd., Wayne, PA 19087 | 2018-05-08 |
| 1841717246 | Laurie Anne Griffith | Counselor | 300 King of Prussia Rd, 2nd Floor, Radnor, PA 19087 | 2017-08-25 |
| 1457871279 | Tracy Kornafel | Physical Therapist | 288 Iven Ave, Apt 1a, Wayne, PA 19087 | 2017-06-22 |
| 1366980153 | Jodi Miller | Physical Therapist | 999 Old Eagle School Rd., Suite 106, Wayne, PA 19087 | 2017-02-01 |
| 1891244844 | Elite Pt LLC | Physical Therapist | 555 E Lancaster Ave Ste 30, Saint Davids, PA 19087 | 2016-09-30 |
| 1386190015 | Patrick Hanratty | Counselor | 468 Upper Weadley Rd, Wayne, PA 19087 | 2016-09-01 |
| 1316494958 | Main Line Day, LLC | Psychologist | 487 Devon Park Drive, Suite 207, Wayne, PA 19087 | 2016-09-01 |
| Find all providers in zip 19087 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518167337 | Pennsylvania Trinity Hospice, LLC | Hospice Care, Community Based | 1255 Drummers Ln, Suite 100, Wayne, PA 19087-1565 | 2007-07-19 |
| 1639218472 | Providence Medical Center | Hospice Care, Community Based | 1200 Providence Rd, Wayne, NE 68787-1212 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707205 | Franklin Hospice LLC | Hospice Care, Community Based | 209 Grant St, Chambersburg, PA 17201-1627 | 2020-10-09 |
| 1356948731 | Ennoble Care of Pennsylvania LLC | Hospice Care, Community Based | 1650 Market St Ste 2600, Philadelphia, PA 19103-7301 | 2020-10-08 |
| 1134744618 | Angelic Health of Pa LLC | Hospice Care, Community Based | 5 Neshaminy Interplex Dr Ste 205, Trevose, PA 19053-6932 | 2020-06-10 |
| 1013538891 | Vital Alliance Home Care | Hospice Care, Community Based | 3629 Whitehall Ln, Philadelphia, PA 19114-1826 | 2020-05-02 |
| 1912526344 | Philadelphia Family Home Care LLC | Hospice Care, Community Based | 1320 N Franklin St, Philadelphia, PA 19122-4590 | 2020-04-15 |
| 1366071789 | Benevolent Touch Home Healthcare Agency | Hospice Care, Community Based | 6439 Greene St Apt C9, Philadelphia, PA 19119-3236 | 2020-04-07 |
| 1821626292 | Unitedhomecareservicesllc | Hospice Care, Community Based | 2137 Embassy Dr Ste 206, Lancaster, PA 17603-2877 | 2020-03-31 |
| 1336788637 | Premier Healthcare Services, LLC | Hospice Care, Community Based | 907 Irvington Pl, Chester, PA 19013-5215 | 2020-01-03 |
| 1336783323 | Commonwealth Hospice LLC | Hospice Care, Community Based | 4955 Steubenville Pike Ste 125, Pittsburgh, PA 15205-9699 | 2019-11-01 |
| 1568024461 | Errands On The Go | Hospice Care, Community Based | 3505 W Moreland Rd Apt Dx123, Willow Grove, PA 19090-3877 | 2019-07-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.