Organization Active NPI

Special Care Hospice LLC

  • Community Based Hospice Care Agency
  • Fort Washington, PA
National Provider Identifier
1710968151
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
16481602 Issued in PA
Legal business name
SPECIAL CARE HOSPICE LLC
Practice address
437 Pennsylvania Ave
Fort Washington, PA 19034-3414
Phone
(215) 557-7300
Fax
(215) 893-1740
NPI assigned
Nov 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Miles Douglas Kosmin
Title
President
Phone
(215) 557-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 16481602 PA Primary

Addresses

Primary practice location

437 Pennsylvania Ave
Fort Washington, PA 19034-3414

Mailing address

437 Pennsylvania Ave
PO Box 249
Fort Washington, PA 19034-3414
Phone (215) 557-7300

Other identifiers 1

IdentifierTypeStateIssuer
1008906300001MedicaidPA

Other names 1

  • Life Choice Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Life Choice Hospice2 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.

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710968151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 PENNSYLVANIA AVE",
            "address_2": "PO BOX 249",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343414",
            "telephone_number": "215-557-7300",
            "fax_number": "215-893-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 PENNSYLVANIA AVE",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343414",
            "telephone_number": "215-557-7300",
            "fax_number": "215-893-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL CARE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOSMIN",
        "authorized_official_first_name": "MILES",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-557-7300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "16481602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008906300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Choice Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.