Main Line Health Homecare and Hospice

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

701205 Issued in PA

Legal business name

MAIN LINE HEALTH HOMECARE AND HOSPICE

Doing business as

Main Line Health HomeCare & Hospice - home health

Practice address

240 N Radnor Chester Rd
Suite 100
Radnor, PA 19087-5170

Phone

(484) 580-1400

Fax

(484) 580-1414

NPI assigned

Jul 4, 2006

Last updated

Dec 1, 2023By the provider in NPPES

Organization subpart

No

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, CHPN

Title

President

Phone

(484) 580-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Main Line Health HomeCare & Hospice - home health 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 1215967468. Details of each certification follow.

• CCN 397012A Home health agency · Details

Home health agency certification: CCN 397012A

Legal name

MAIN LINE HEALTH HOMECARE AND HOSPICE

Doing business as

MAIN LINE HEALTH HOMECARE & HOSPICE-HOME HEALTH

Organization structure

CorporationNon-profit

Incorporated

Feb 28, 1984 in PA

Enrollment address

240 N Radnor Chester Rd
Ste 100
Radnor, PA 19087-2121
HHA Branch

Other NPIs with the same Medicare PAC ID 1

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

• Main Line Health Homecare and Hospice

  dba Main Line Health HomeCare & Hospice - Hospice

  • Community Based Hospice Care Agency
  • Radnor, PA
  • NPI 1881629228

  1052228780

  Same PAC ID

Tax ID family

Main Line Health Homecare and Hospice3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Main Line Health Homecare and Hospice

  dba Main Line Health HomeCare and Hospice - home health

  • Home Health Agency
  • Radnor, PA
  • NPI 1144604281
  NPD tax ID
• Main Line Health Homecare and Hospice

  dba Main Line Health HomeCare & Hospice - home health

  • Home Health Agency
  • Radnor, PA
  • NPI 1891170700
  NPD tax ID

Locations

All disclosed owners & managing parties 6

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Main Line Health Homecare and Hospice

  dba Main Line Health HomeCare & Hospice - Hospice

  • Community Based Hospice Care Agency
  • Radnor, PA
  • NPI 1881629228

  Main Line Diversified Services

  CMS ownership

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1215967468",
    "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": "2006-07-04",
        "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": "PRESIDENT",
        "authorized_official_telephone_number": "484-580-1400",
        "authorized_official_credential": "MS, BSN, CHPCA, CHPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "701205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007537580006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Line Health HomeCare & Hospice - home health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Main Line Health HomeCare & Hospice - home health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nichelle M Logan, PHARMD
• Laurie Lynch, RPH
• Sara Turnbull Maggitti, PSY.D.
• Main Line Affiliates
• Main Line Health Homecare and Hospice (Main Line Health HomeCare and Hospice - home health)
• Main Line Health Homecare and Hospice (Main Line Health HomeCare & Hospice - Hospice)
• Main Line Health Homecare and Hospice (Main Line Health HomeCare & Hospice - home health)
• Main Line Health Laboratories
• Wyatt Jacob Manieri
• Derek Alexander Mann, MS

• Home Health Agency in Radnor, PA
• Providers in Radnor, 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 Dec 1, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.