Active NPI
Family Hospice and Palliative Care
- Community Based Hospice Care Agency
- Hermitage, PA
National Provider Identifier
1114912003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 155899
- Legal business name
- FAMILY HOSPICE AND PALLIATIVE CARE
- Practice address
- 701 N. Hermitage Road
Colonial Square Building 1, Suite 5
Hermitage, PA 16148-3250 - Phone
- (724) 983-6020
- Fax
- (412) 572-8826
- NPI assigned
- Sep 16, 2005
- 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
- Barbara Ivanko
- Title
- President/Ceo
- Phone
- (412) 572-8811
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 155899 | PA | Primary |
| Community Based Hospice Care Agency | 251G00000X | 0133HSP | OH |
Addresses
Primary practice location
701 N. Hermitage Road
Colonial Square Building 1, Suite 5
Hermitage, PA 16148-3250
Mailing address
701 N. Hermitage Road
Colonial Square Building 1, Suite 5
Hermitage, PA 16148-3250
Phone (724) 983-6020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100776420 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
1965 Shenango Valley Fwy
Ste 2
Hermitage, PA 16148
Phone (724) 983-6020
701 N Hermitage Rd
Ste 5
Hermitage, PA 16148
Phone (724) 981-5688
103 Yost Blvd
Ste 200
Pittsburgh, PA 15221
Phone (412) 829-2818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459296000000",
"number": "1114912003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 N. HERMITAGE ROAD",
"address_2": "COLONIAL SQUARE BUILDING 1, SUITE 5",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161483250",
"telephone_number": "724-983-6020",
"fax_number": "412-572-8826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N. HERMITAGE ROAD",
"address_2": "COLONIAL SQUARE BUILDING 1, SUITE 5",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161483250",
"telephone_number": "724-983-6020",
"fax_number": "412-572-8826"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HOSPICE AND PALLIATIVE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-16",
"last_updated": "2016-03-30",
"status": "A",
"authorized_official_last_name": "IVANKO",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "412-572-8811"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "PA",
"license": "155899",
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "OH",
"license": "0133HSP",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100776420",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.