West Grove Hospital Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

740005 Issued in PA

Legal business name

WEST GROVE HOSPITAL CORPORATION

Doing business as

Jennersville Regional Hospital Home Services

Practice address

121 Bell Tower LN
Oxford, PA 19363-1208

Phone

(610) 998-1700

Fax

(610) 998-1799

NPI assigned

Sep 15, 2005

Organization subpart

Yes

Parent organization

WEST GROVE HOSPITAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Ms. Michelle Buonomo

Title

Billing Coordinator

Phone

(610) 998-1700

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• JENNERSVILLE REGIONAL HOSPITAL HOME SERVICES Doing business as

Part of

West Grove Hospital Cor

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1063407096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BELL TOWER LN",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193631208",
            "telephone_number": "610-998-1700",
            "fax_number": "610-998-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BELL TOWER LN",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193631208",
            "telephone_number": "610-998-1700",
            "fax_number": "610-998-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GROVE HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST GROVE HOSPITAL CORPORATION",
        "enumeration_date": "2005-09-15",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BUONOMO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "610-998-1700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "740005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PROV #",
            "identifier": "58150671002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "0000804000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007312400008",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HEALTH PLA",
            "identifier": "1152927",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JENNERSVILLE REGIONAL HOSPITAL HOME SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jhosset Stefania Vinueza-Cordova, CRNP
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• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-5795)
• Walgreen Co (Walgreens #11074)
• Benjamin Peter Wenger, DO
• West Grove Hospital Corporation (Jennersville Regional Hospital Hospice)
• Ashley Whiteman, M.S., CCC-SLP
• Marie Cathryn Wicks, MA BCBA LBS
• Patrick James Winters
• Alexis Witiak

• Home Health Agency in Oxford, PA
• Providers in Oxford, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.