NPIMap

Organization Active NPI

Vna Home Health Services

Doing business as WellSpan VNA Home Care

  • Community Based Hospice Care Agency
  • Lebanon, PA
National Provider Identifier
1396827796
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
156199 Issued in PA
Legal business name
VNA HOME HEALTH SERVICES
Doing business as
WellSpan VNA Home Care
Practice address
1503 Quentin Rd
Lebanon, PA 17042-7431
Phone
(717) 274-2591
Fax
(717) 274-3923
NPI assigned
Oct 19, 2006
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
WELLSPAN HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Laura Buczkowski
Title
Sr VP and Cfo
Phone
(410) 259-0783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 156199 PA Primary

Addresses

Primary practice location

1503 Quentin Rd
Lebanon, PA 17042-7431

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other identifiers 16

IdentifierTypeStateIssuer
08274OtherPAHEALTH PARTNERS
1018197OtherPAKEYSTONE MERCY
1521970OtherPAGATEWAY HEALTH PLAN
391561OtherHUMANA GOLD
60685OtherPAAMERIHEALTH MERCY
33781OtherPAHEALTH AMERICA
1007732780018MedicaidPA
391561OtherGEISINGER GOLD
7510OtherPAAETNA
100778621MedicaidPA
1560OtherPAHIGHMARK BLUE SHIELD
391561OtherADVANTRA
391561OtherPACAPITAL BLUE CROSS
1521970OtherPAGATEWAY MEDICARE ASSURED
391561OtherSTERLING OPTION 1
391561OtherPAKEYSTONE HEALTH PLAN CENT

Other names 1

  • WellSpan VNA Home Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobius.cobius.com:829/Gateway/DocumentSubission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170209001285 PA Part A Provider - Hospice 8921916834 Practice locations: Lebanon, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396827796. Details of each certification follow.

Hospice certification: CCN 391561

Legal name
VNA HOME HEALTH SERVICES
Doing business as
WELLSPAN VNA HOME CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 28, 1992
Last certification
Jan 9, 2019
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Apr 28, 1938 in PA
Enrollment address
1503 Quentin Rd
Lebanon, PA 17042-7431

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Wellspan Vna Home CareCCN 391561 · All quality measures
Ownership
Non-Profit
Certified
Aug 28, 1992
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Cobius Healthcare Solutions2 organizations share this tax ID, including this one
Part of
Wellspan Health

Other organizations with this tax ID 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

39 N 5th St
Gettysburg, PA 17325
Phone (717) 337-4233

1503 Quentin Rd
Lebanon, PA 17042
Phone (717) 274-2591

2 N Charles St
Red Lion, PA 17356
Phone (717) 246-1685

218 E Market St
York, PA 17403
Phone (631) 487-4247

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Laura Buczkowski Individual Corporate OfficerSr VP and Cfo Nov 30, 2020
W-2 Managing EmployeeSenior VP and Cfo Nov 30, 2020
Hilda Shirk Individual Corporate OfficerChair Emeritus Jan 1, 2021
Corporate DirectorBoard Member Jan 1, 2021
Roxanna L Gapstur Individual Other Jan 2, 2019
Mandy Priest Individual Corporate DirectorBoard Member Jan 1, 2022
Richard Farr Individual Corporate DirectorBoard Member Jan 1, 2021
Richard Broadbent Individual Corporate OfficerChair Jan 1, 2025
Corporate DirectorBoard Member Oct 1, 2014
Suzanne McConkey Individual Corporate DirectorDirector Jan 1, 2026
Roger S Haddon Individual Corporate DirectorBoard Member Jul 31, 2024
Robert Crosswhite Individual Corporate OfficerChair Jan 1, 2025
Corporate DirectorBoard Member Oct 1, 2014
Elaine Bonneau Individual Corporate DirectorBoard Member Jan 1, 2021
Jennifer Craighead Individual Corporate DirectorDirector Jan 1, 2026
Timm Moyer Individual Corporate DirectorBoard Member Jul 31, 2024
Philip Fague Individual Corporate DirectorBoard Member Oct 1, 2018
Ann Kunkel Individual Contracted Managing EmployeeManaging Employee May 31, 2023
Corporate OfficerPresident May 31, 2023
Andy Williford Individual Corporate DirectorBoard Member Jan 1, 2022
Wellspan Health Organization, York, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2022 100%
Operational/Managerial Control Jan 1, 2022
Stephen J Holoviak Individual Corporate DirectorBoard Member Jan 1, 2021
William C Funk Individual Corporate DirectorBoard Member Oct 1, 2015

Facilities with the same owner 20

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

View all 20

Change-of-ownership history 2

DateEventCounterparty
Jan 1, 2017 Change of OwnershipThis provider was the buyer Good Samaritan Hospital HospiceCCN 391561, PA, NPI 1396827796
Jan 1, 2017 Change of OwnershipThis provider was the seller Wellspan Vna Home CareCCN 391561, PA, NPI 1396827796

Practitioners & affiliated clinicians

Affiliated clinicians 11

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1396827796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 QUENTIN RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427431",
            "telephone_number": "717-274-2591",
            "fax_number": "717-274-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VNA HOME HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLSPAN HEALTH",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "BUCZKOWSKI",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "SR VP AND CFO",
        "authorized_official_telephone_number": "410-259-0783"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "156199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "08274",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1018197",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1521970",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GOLD",
            "identifier": "391561",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "60685",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "33781",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007732780018",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER GOLD",
            "identifier": "391561",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7510",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100778621",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1560",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA",
            "identifier": "391561",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "391561",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY MEDICARE ASSURED",
            "identifier": "1521970",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING OPTION 1",
            "identifier": "391561",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN CENT",
            "identifier": "391561",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobius.cobius.com:829/Gateway/DocumentSubission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WellSpan VNA Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.