West Grove Hospital Corporation

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

159499 Issued in PA

Legal business name

WEST GROVE HOSPITAL CORPORATION

Doing business as

Jennersville Regional Hospital Hospice

Practice address

121 Bell Tower LN
Oxford, PA 19363-1208

Phone

(610) 998-1700

Fax

(610) 998-1799

NPI assigned

Sep 15, 2005

Organization subpart

Yes

Parent organization

WEST GROVE HOSPITAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Ms. Michelle Buonomo

Title

Billing Coordinator

Phone

(610) 998-1700

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• JENNERSVILLE REGIONAL HOSPITAL HOSPICE Doing business as

Part of

West Grove Hospital Cor

Locations

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1356336309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BELL TOWER LN",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193631208",
            "telephone_number": "610-998-1700",
            "fax_number": "610-998-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BELL TOWER LN",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193631208",
            "telephone_number": "610-998-1700",
            "fax_number": "610-998-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GROVE HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST GROVE HOSPITAL CORPORATION",
        "enumeration_date": "2005-09-15",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "BUONOMO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "610-998-1700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "159499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HTH PLAN",
            "identifier": "1152927",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0003408000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007312400001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JENNERSVILLE REGIONAL HOSPITAL HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Benjamin Peter Wenger, DO
• West Grove Hospital Corporation (Jennersville Regional Hospital Home Services)
• Ashley Whiteman, M.S., CCC-SLP
• Marie Cathryn Wicks, MA BCBA LBS
• Patrick James Winters
• Alexis Witiak
• Susan M Wolf, CRNP

• Community Based Hospice Care Agency in Oxford, PA
• Providers in Oxford, 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 Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.