The Highlands at Wyomissing

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

THE HIGHLANDS AT WYOMISSING

Doing business as

Aspire for Well-Being Hospice

Practice address

2000 Cambridge Ave
Wyomissing, PA 19610-2714

Phone

(610) 775-2300

Fax

(610) 775-9851

NPI assigned

Apr 17, 2023

Last updated

Nov 5, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

THE HIGHLANDS AT WYOMISSINGAs reported in NPPES

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

Authorized official

Name

Kevin P Deacosta

Title

President and Ceo

Phone

(610) 775-2300

Specialties & licenses 1

Addresses

Other names 1

• Aspire for Well-Being Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205522778. Details of each certification follow.

• CCN 731515 Hospice · Active · Details

Hospice certification: CCN 731515

Legal name

THE HIGHLANDS AT WYOMISSING

Doing business as

ASPIRE FOR WELL-BEING HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 10, 2024

Last certification

Oct 10, 2024

Ownership / control type

Non-Profit - Private

Organization structure

CorporationNon-profit

Enrollment address

2000 Cambridge Ave
Wyomissing, PA 19610-2714

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• The Highlands at Wyomissing

  • Skilled Nursing Facility
  • Wyomissing, PA
  • NPI 1588636344

  0941457147

  Same PAC ID

Listed as

Aspire for Well-Being HospiceCCN 731515 · All quality measures

Certified

Oct 10, 2024

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

The Highlands at Wyomissing2 organizations share this tax ID, including this one

Part of

The Highlands at Wyomissing

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Highlands at Wyomissing

  • Skilled Nursing Facility
  • Wyomissing, PA
  • NPI 1588636344
  NPD tax ID

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Andrew Ambort, DO

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Ephrata, PA
  • NPI 1447647433

  Contracted Managing Employee, Corporate Director

  CMS ownership

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Highlands at Wyomissing

  • Skilled Nursing Facility
  • Wyomissing, PA
  • NPI 1588636344
  NPPES parent name

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Andrew Ambort, DO

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Ephrata, PA
  • NPI 1447647433
  Care Compare affiliation
• Ann Marie Langham, DO

  • Family Medicine Physician
  • Sinking Spring, PA
  • NPI 1083608236

  Hospice

  Care Compare affiliation
• Kellyanne Rittle, CRNP

  • Gerontology Nurse Practitioner
  • Lebanon, PA
  • NPI 1780364653

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1205522778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CAMBRIDGE AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102714",
            "telephone_number": "610-775-2300",
            "fax_number": "610-775-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CAMBRIDGE AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102714",
            "telephone_number": "610-775-2300",
            "fax_number": "610-775-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HIGHLANDS AT WYOMISSING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HIGHLANDS AT WYOMISSING",
        "enumeration_date": "2023-04-17",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "DEACOSTA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "610-775-2300"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspire for Well-Being Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Community Based Hospice Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.