Organization Active NPI

Communitycare Hospice Services of Pennsylvania, LLC

  • Community Based Hospice Care Agency
  • Elkins Park, PA
National Provider Identifier
1043468077
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COMMUNITYCARE HOSPICE SERVICES OF PENNSYLVANIA, LLC
Practice address
210 Yorktown PLZ
Ste. 210
Elkins Park, PA 19027-1424
Phone
(215) 690-4058
Fax
(215) 884-3766
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Sherdina Hobson, CRNPNPI 1104153055
Title
Administrator
Phone
(215) 690-4058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

210 Yorktown PLZ
Ste. 210
Elkins Park, PA 19027-1424

Mailing address

210 Yorktown PLZ
Ste. 210
Elkins Park, PA 19027-1424
Phone (215) 690-4058

National Provider Directory

National Provider Directory

Locations

210 Yorktown Plz
Ste 210
Elkins Park, PA 19027
Phone (215) 690-4058

210 Yorktown Plz
#210
Elkins Park, PA 19027
Phone (215) 690-4058

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1043468077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 YORKTOWN PLZ",
            "address_2": "STE. 210",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271424",
            "telephone_number": "215-690-4058",
            "fax_number": "215-884-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 YORKTOWN PLZ",
            "address_2": "STE. 210",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271424",
            "telephone_number": "215-690-4058",
            "fax_number": "215-884-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITYCARE HOSPICE SERVICES OF PENNSYLVANIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "HOBSON",
        "authorized_official_first_name": "SHERDINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-690-4058",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.