NPIMap

Organization Active NPI

Wissahickon Hospice of Uphs

  • Community Based Hospice Care Agency
  • Bala Cynwyd, PA
National Provider Identifier
1700813649
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
150199 Issued in PA
Legal business name
WISSAHICKON HOSPICE OF UPHS
Practice address
150 Monument Rd Ste 600
Bala Cynwyd, PA 19004-1701
Phone
(610) 617-2400
Fax
(610) 617-2438
NPI assigned
Jun 27, 2006
Last updated
Sep 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
David Alexander
Title
Chief Financial Officer
Phone
(484) 431-3556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 150199 PA Primary

Addresses

Primary practice location

150 Monument Rd Ste 600
Bala Cynwyd, PA 19004-1701

Mailing address

150 Monument Rd Ste 600
Bala Cynwyd, PA 19004-1701
Phone (610) 617-2400

Other identifiers 1

IdentifierTypeStateIssuer
100739688004MedicaidPA

Other names 1

  • Wissahickon Hospice Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070521000273 PA Part A Provider - Hospice 8224135660 Practice locations: Bala Cynwyd, PA; West Chester, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700813649. Details of each certification follow.

Hospice certification: CCN 391501

Legal name
WISSAHICKON HOSPICE OF UPHS
Doing business as
PENN MEDICINE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 1, 1983
Last certification
May 23, 2019
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Sep 5, 1980 in PA
Enrollment address
150 Monument Rd
Ste 600
Bala Cynwyd, PA 19004-1701

Care Compare: Hospice

Medicare Care Compare
Listed as
Penn Medicine HospiceCCN 391501 · All quality measures
Ownership
Non-Profit
Certified
Nov 1, 1983
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Wissahickon Hospice of Uphs2 organizations share this tax ID, including this one

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

1 Presidential Blvd
Ste 125
Bala Cynwyd, PA 19004
Phone (610) 617-2400

1800 Lombard St
#6
Philadelphia, PA 19146
Phone (215) 893-6250

795 E Marshall St
Ste 204
West Chester, PA 19380
Phone (610) 696-6511

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Daniel M Feinberg Individual Corporate DirectorBoard Member Jun 4, 2024
John J Herman Individual Corporate DirectorBoard Member Jun 1, 2022
Patrick J Brennan Individual Corporate DirectorBoard Member Jun 5, 2000
Joan M Doyle Individual Corporate OfficerExecutive Director Jul 1, 1999
Corporate DirectorBoard Member Jul 1, 1999
W-2 Managing EmployeeAd;Executive Director Jul 1, 1999
Trustees of the University of Pennsylvania Organization, Philadelphia, PA Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 1997 100%
Stanley J Savinese Individual W-2 Managing EmployeeMD; Apr 1, 2024
Kevin B Mahoney Individual Corporate DirectorBoard Member Jun 6, 2006
Raina Martha Merchant Individual Corporate DirectorBoard Member Jun 4, 2024
David Alexander Individual Corporate OfficerChief Financial Officer Jun 3, 2025
Regina Cunningham Individual Corporate DirectorBoard Member Jun 6, 2019
Charles John Schneider Individual Corporate DirectorBoard Member May 3, 2018
Sandra G Jost Individual Corporate OfficerAssociate Executive Director, CH Mar 5, 2012
W-2 Managing EmployeeAssociate Executive Director Mar 5, 2012
Keith Kasper Individual Corporate DirectorBoard Member May 3, 2018
Angela Coladonato Individual Corporate DirectorBoard Member Feb 21, 2019
Michael Rossi Individual W-2 Managing EmployeeDirector, Government Reimbursement Jun 21, 2018

Owners & managing parties with NPI records 17

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 17

Facilities with the same owner 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 83

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

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1700813649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MONUMENT RD STE 600",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041701",
            "telephone_number": "610-617-2400",
            "fax_number": "610-617-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MONUMENT RD STE 600",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041701",
            "telephone_number": "610-617-2400",
            "fax_number": "610-617-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISSAHICKON HOSPICE OF UPHS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "484-431-3556"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "150199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100739688004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wissahickon Hospice",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.