Active NPI
West Grove Home Care LLC
- Home Health Agency
- West Grove, PA
National Provider Identifier
1013198019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- WEST GROVE HOME CARE LLC
- Practice address
- 1011 W Baltimore Pike Ste 207
West Grove, PA 19390-9402 - Phone
- (610) 998-1700
- Fax
- (610) 998-1799
- NPI assigned
- Nov 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joshua Proffitt
- Title
- President
- Phone
- (337) 233-1307
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1011 W Baltimore Pike Ste 207
West Grove, PA 19390-9402
Mailing address
PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Other practice location 1
121 Bell Tower Ln
Oxford, PA 19363-1208
Phone (610) 998-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1021964750002 | Medicaid | PA |
Other names 1
- Brandywine River Valley Home Health
National Provider Directory
National Provider DirectoryLocations
125 Bell Tower Ln
Ste 1C
Oxford, PA 19363
Phone (610) 998-1700
125 Bell Tower Ln
Ste 1B
Oxford, PA 19363
Phone (610) 998-1700
1011 W Baltimore Pike
Ste 207
West Grove, PA 19390
Phone (610) 998-1700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690761600000",
"number": "1013198019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51266",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705051266",
"telephone_number": "337-233-1307",
"fax_number": "337-443-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 W BALTIMORE PIKE STE 207",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "193909402",
"telephone_number": "610-998-1700",
"fax_number": "610-998-1799"
}
],
"practiceLocations": [
{
"address_1": "121 Bell Tower Ln",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "PA",
"postal_code": "193631208",
"country_code": "US",
"telephone_number": "610-998-1700",
"fax_number": "610-998-1799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WEST GROVE HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-18",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A",
"authorized_official_last_name": "PROFFITT",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "337-233-1307",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1021964750002",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brandywine River Valley Home Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Brandywine River Valley Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.