Active NPI
Main Line Health Homecare and Hospice
- Home Health Agency
- Radnor, PA
National Provider Identifier
1144604281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 39-7012A
- Legal business name
- MAIN LINE HEALTH HOMECARE AND HOSPICE
- Practice address
- 240 N Radnor Chester Rd
Suite 100
Radnor, PA 19087-5170 - Phone
- (484) 580-1400
- Fax
- (484) 580-1414
- NPI assigned
- Jul 18, 2015
- 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
- Terre L. Mirsch, MS, BSN, CHPCA, CHP
- Title
- Executive Director
- Phone
- (484) 580-1400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 39-7012A | PA | Primary |
Addresses
Primary practice location
240 N Radnor Chester Rd
Suite 100
Radnor, PA 19087-5170
Mailing address
240 N Radnor Chester Rd
Suite 100
Radnor, PA 19087-5170
Phone (484) 580-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007537580006 | Medicaid | PA |
Other names 1
- Main Line Health HomeCare and Hospice - home health
National Provider Directory
National Provider Directory- Tax ID family
- Main Line Health Homecare and Hospice
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Radnor, PA
- NPI 1215967468
-
- Home Health Agency
- Radnor, PA
- NPI 1891170700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701388800000",
"number": "1144604281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 N RADNOR CHESTER RD",
"address_2": "SUITE 100",
"city": "RADNOR",
"state": "PA",
"postal_code": "190875170",
"telephone_number": "484-580-1400",
"fax_number": "484-580-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 N RADNOR CHESTER RD",
"address_2": "SUITE 100",
"city": "RADNOR",
"state": "PA",
"postal_code": "190875170",
"telephone_number": "484-580-1400",
"fax_number": "484-580-1414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAIN LINE HEALTH HOMECARE AND HOSPICE",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-18",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A",
"authorized_official_last_name": "MIRSCH",
"authorized_official_first_name": "TERRE",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "484-580-1400",
"authorized_official_credential": "MS, BSN, CHPCA, CHP"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "39-7012A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007537580006",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Main Line Health HomeCare and Hospice - home health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Main Line Health HomeCare and Hospice - home health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Radnor, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.