Active NPI
Pocono Vna-Hospice
- Community Based Hospice Care Agency
- East Stroudsburg, PA
National Provider Identifier
1497725949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- POCONO VNA-HOSPICE
- Practice address
- 502 Vna Road
East Stroudsburg, PA 18301-7965 - Phone
- (570) 421-5390
- Fax
- (570) 421-7423
- NPI assigned
- Jan 26, 2006
- 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
- Mr. Mark Hodgson
- Title
- Ceo
- Phone
- (570) 421-5390
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 152399 | PA | |
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
502 Vna Road
East Stroudsburg, PA 18301-7965
Mailing address
502 Vna Road
East Stroudsburg, PA 18301-7965
Phone (570) 421-5390
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007769950003 | Medicaid | PA | |
| 152399 | Medicaid | PA |
Other names 1
- Lehigh Valley Hospice Pocono
Care Compare: Hospice
Medicare Care Compare- Listed as
- Pocono Health System Visiting Nurse & Hospice Care
- Ownership
- Non-Profit
- Certified
- Jul 10, 1987
- Medicare certification status
- Terminated Voluntary: merger or closure, Apr 30, 2024
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- General Acute Care Hospital
- East Stroudsburg, PA
- NPI 1568459436
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559174400000",
"number": "1497725949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 VNA ROAD",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183017965",
"telephone_number": "570-421-5390",
"fax_number": "570-421-7423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 VNA ROAD",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183017965",
"telephone_number": "570-421-5390",
"fax_number": "570-421-7423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POCONO VNA-HOSPICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-26",
"last_updated": "2019-05-30",
"status": "A",
"authorized_official_last_name": "HODGSON",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "570-421-5390",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "PA",
"license": "152399",
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007769950003",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152399",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lehigh Valley Hospice Pocono",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.