NPIMap

Organization Active NPI

LCH Health and Community Services

  • Federally Qualified Health Center (FQHC)
  • Kennett Square, PA
National Provider Identifier
1285984476
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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)CodeLicenseStatePrimary
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 identifiers 1

IdentifierTypeStateIssuer
100752680-0007MedicaidPA

Other names 1

  • La Comunidad Hispana, Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

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
CorporationNon-profit
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).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

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.

NameRoleSinceShare
Alice K Moorehead Individual Corporate Director Dec 16, 2004
Barbara E Harrison McPherson Individual Corporate Director Jan 19, 2021
Leah Whyte Individual Corporate Director Jan 1, 2021
Sara Dickens-Trillo Individual Corporate Director Jan 18, 2021
Jeanne Franklin Individual Corporate DirectorVice Chairperson Jan 16, 2021
Andrea Hickey Mills Individual Corporate Director Jan 1, 2018
Domenic Vacca Individual Corporate Director Jan 1, 2016
Jorge Duchini Individual Corporate Director Jan 19, 2021
John Rafferty Individual Corporate DirectorSecretary Jan 1, 2018
Pia McCann Individual Corporate DirectorChairperson Jan 1, 2016
Nolan Bennett Individual Corporate Director Jan 18, 2021
Ronan Gannon Individual Corporate OfficerCeo Apr 1, 2021
W-2 Managing EmployeeCeo Apr 1, 2021
Christopher G Close Individual Corporate Director Jun 7, 2007
Brian Kornet Individual Corporate DirectorTreasurer 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.

FacilityTypeRoleSince
LCH Health and Community ServicesOxford, PA, CCN 731876 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.

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100752680-0007",
            "state": "PA"
        }
    ],
    "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

Verify at the official NPI Registry.