Organization Active NPI

Evangelical Community Hospital

  • Community Based Hospice Care Agency
  • Lewisburg, PA
National Provider Identifier
1720046519
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
1545 Issued in PA
Legal business name
EVANGELICAL COMMUNITY HOSPITAL
Practice address
235 Hospital Dr
Lewisburg, PA 17837-9306
Phone
(570) 522-2550
NPI assigned
May 2, 2006
Organization subpart
Yes
Parent organization
EVANGELICAL COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Kathy Paul
Title
Director
Phone
(570) 522-2776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 1545 PA Primary

Addresses

Primary practice location

235 Hospital Dr
Lewisburg, PA 17837-9306

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1007731510001MedicaidPA

Other names 1

  • WellSpan Hospice Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumkentSubmission/d_0NhinService/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
O20060308000055 PA Part A Provider - Hospice 5496641086 Practice locations: Lewisburg, PA

Hospice certification: CCN 391545

Legal name
EVANGELICAL COMMUNITY HOSPITAL
Doing business as
WELLSPAN HOSPICE SERVICES
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 5, 1990
Last certification
Feb 12, 2021
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Oct 22, 1979 in PA
Enrollment address
235 Hospital Dr
Lewisburg, PA 17837-9306

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Wellspan Hospice ServicesCCN 391545
Ownership
Non-Profit
Certified
Feb 5, 1990
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Evangelical Comm Hosp L7 organizations share this tax ID, including this one
Part of
Evangelical Comm Hosp L

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Adanma Akujieze Individual Corporate Officer Jan 1, 2025
Anthony David Aquilina Individual Corporate Officer Jan 1, 2025
Laura Buczkowski Individual Corporate DirectorExecutive VP and Cfo Jan 1, 2025
Amanda G Kessler Individual Corporate DirectorBoard Member Jan 1, 2013
Roxanna L Gapstur Individual Corporate Officer Jan 1, 2025
Leah Barrett Individual W-2 Managing Employee Sep 25, 2025
Kathy J Paul Individual W-2 Managing EmployeeDirector Apr 1, 2022
Leslie P Temple Individual Corporate OfficerBoard Member Jan 1, 2022
Amy Hobbs Individual W-2 Managing Employee Sep 25, 2025
Timothy J Apple Individual Corporate DirectorBoard Member Jan 1, 2013
Allen Fasnacht Individual W-2 Managing EmployeePresident Dec 15, 2025
Pamela Hildabridle Individual W-2 Managing Employee Sep 25, 2025
Michael B Seim Individual Corporate Officer Jan 1, 2025
Maria M Fasano Individual Corporate OfficerMember Jan 1, 2025
Jeffrey Kapsar Individual Corporate DirectorBoard Member Mar 25, 2019
David Vega Individual Corporate Officer Jan 1, 2025
Wellspan Health Organization, York, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2024 100%
Phillip Robert Peterson Individual Corporate Officer Jan 1, 2025
Cynthia Fruitrail Individual Corporate Officer Jan 1, 2025

Owners & managing parties with NPI records 4

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

Facilities with the same owner 20

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

View all 20

Practitioners & affiliated clinicians

Affiliated clinicians 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1720046519",
    "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": "235 HOSPITAL DR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379306",
            "telephone_number": "570-522-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELICAL COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVANGELICAL COMMUNITY HOSPITAL",
        "enumeration_date": "2006-05-02",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "570-522-2776"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "1545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007731510001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumkentSubmission/d_0NhinService/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",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "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 Hospice Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisburg, PA

Sources for this page

Verify at the official NPI Registry.