Active NPI
LCH Health and Community Services
- Federally Qualified Health Center (FQHC)
- Kennett Square, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- LCH HEALTH AND COMMUNITY SERVICES
- Practice address
- 731 W Cypress St
Kennett Square, PA 19348-2419 - Phone
- (610) 444-7550
- NPI assigned
- Sep 14, 2012
- Last updated
- May 23, 2023
- 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
- Ronan Gannon
- Title
- Ceo
- Phone
- (610) 444-7550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
731 W Cypress St
Kennett Square, PA 19348-2419
Mailing address
731 W Cypress St
Kennett Square, PA 19348-2419
Phone (610) 444-7550
Other names 1
- La Comunidad Hispana, Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050310000620 | PA | Part B Supplier - Clinic/Group Practice | 2466406574 |
Receives reassigned benefits from 27 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kennett Square, PA; Oxford, PA; West Grove, PA |
| O20130118000013 | PA | Part A Provider - Federally Qualified Health Center (FQHC) | 2466406574 | Practice locations: Kennett Square, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1285984476. Details of each certification follow.
Federally qualified health center certification: CCN 391035
- Legal name
- LCH HEALTH AND COMMUNITY SERVICES
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 22, 2013
- Last certification
- Jan 22, 2013
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Aug 19, 1980 in PA
- Enrollment address
- 731 W Cypress St
Kennett Square, PA 19348-2419
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Federally Qualified Health Center (FQHC)
- West Grove, PA
- NPI 1063901205
2466406574
-
- Federally Qualified Health Center (FQHC)
- West Grove, PA
- NPI 1699305375
2466406574
-
- Federally Qualified Health Center (FQHC)
- Oxford, PA
- NPI 1811587512
2466406574
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- West Grove, PA
- NPI 1063901205
O20050310000620
-
- Federally Qualified Health Center (FQHC)
- West Grove, PA
- NPI 1447709571
O20050310000620
-
- Federally Qualified Health Center (FQHC)
- West Grove, PA
- NPI 1699305375
O20050310000620
-
- Federally Qualified Health Center (FQHC)
- Oxford, PA
- NPI 1760854293
O20050310000620
-
- Federally Qualified Health Center (FQHC)
- Oxford, PA
- NPI 1811587512
O20050310000620
National Provider Directory
National Provider DirectoryLocations
105 Vineyard Way
Ste 103
West Grove, PA 19390
Phone (610) 444-7550
Ownership & related parties
All disclosed owners & managing parties 14
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Alice K Moorehead | Corporate Director | Dec 16, 2004 | |
| Barbara E Harrison McPherson | Corporate Director | Jan 19, 2021 | |
| Leah Whyte | Corporate Director | Jan 1, 2021 | |
| Sara Dickens-Trillo | Corporate Director | Jan 18, 2021 | |
| Jeanne Franklin | Corporate Director | Jan 16, 2021 | |
| Andrea Hickey Mills | Corporate Director | Jan 1, 2018 | |
| Domenic Vacca | Corporate Director | Jan 1, 2016 | |
| Jorge Duchini | Corporate Director | Jan 19, 2021 | |
| John Rafferty | Corporate Director | Jan 1, 2018 | |
| Pia McCann | Corporate Director | Jan 1, 2016 | |
| Nolan Bennett | Corporate Director | Jan 18, 2021 | |
| Ronan Gannon | Corporate Officer | Apr 1, 2021 | |
| W-2 Managing Employee | Apr 1, 2021 | ||
| Christopher G Close | Corporate Director | Jun 7, 2007 | |
| Brian Kornet | Corporate Director | Jan 1, 2019 |
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| LCH Health and Community Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest Other |
May 1, 1980 May 1, 1980 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- Oxford, PA
- NPI 1811587512
5% Or Greater Direct Ownership Interest, Other
Practitioners & affiliated clinicians
Practitioners 19
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Oxford, PA
- NPI 1689340952
-
- Physician Assistant
- Wynnewood, PA
- NPI 1568007656
-
- Family Nurse Practitioner
- Philadelphia, PA
- NPI 1013444769
-
- Psychiatry Physician
- Devon, PA
- NPI 1245369297
-
- Family Nurse Practitioner
- Oxford, PA
- NPI 1568107241
-
- Chiropractor
- Vineland, NJ
- NPI 1922125392
-
- Family Nurse Practitioner
- Oxford, PA
- NPI 1831800572
-
- Pediatric Nurse Practitioner
- West Grove, PA
- NPI 1700610839
-
- Family Nurse Practitioner
- West Grove, PA
- NPI 1972111359
-
- Medical Physician Assistant
- Pottstown, PA
- NPI 1780686295
-
- Family Medicine Physician
- Kennett Square, PA
- NPI 1083684252
-
- Family Nurse Practitioner
- Kennett Square, PA
- NPI 1811590177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684800000000",
"number": "1285984476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 W CYPRESS ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193482419",
"telephone_number": "610-444-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 W CYPRESS ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193482419",
"telephone_number": "610-444-7550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LCH HEALTH AND COMMUNITY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-14",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A",
"authorized_official_last_name": "GANNON",
"authorized_official_first_name": "RONAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "610-444-7550"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "La Comunidad Hispana, Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Kennett Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.