Organization Active NPI

Thi of Pennsylvania at Samaritan Hospice LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Newtown Square, PA
National Provider Identifier
1033651245
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
THI OF PENNSYLVANIA AT SAMARITAN HOSPICE LLC
Practice address
2 Campus Blvd
Newtown Square, PA 19073-3243
Phone
(610) 436-1853
NPI assigned
Nov 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Russell Adkins
Title
SVP General Counsel
Phone
(615) 309-5668

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X Primary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

2 Campus Blvd
Newtown Square, PA 19073-3243

Mailing address

10 Cadillac Dr
Suite 400
Brentwood, TN 37027-5078
Phone (417) 841-4834

National Provider Directory

National Provider Directory

Locations

653 Skippack Pike
#12A
Blue Bell, PA 19422
Phone (215) 653-7310

2 Campus Blvd
Newtown Square, PA 19073
Phone (610) 436-1853

100 Allegheny Dr
#202
Warrendale, PA 15086
Phone (724) 779-2033

1234 W Chester Pike
West Chester, PA 19382
Phone (484) 202-0751

711 N York Rd
Fl 2
Willow Grove, PA 19090
Phone (215) 653-7310

10 Cadillac Dr
Ste 500
Brentwood, TN 37027

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1033651245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CADILLAC DR",
            "address_2": "SUITE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275078",
            "telephone_number": "417-841-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CAMPUS BLVD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733243",
            "telephone_number": "610-436-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF PENNSYLVANIA AT SAMARITAN HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "SVP GENERAL COUNSEL",
        "authorized_official_telephone_number": "615-309-5668"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.