Abington Memorial Hospital
Organization Active NPI Community Based Hospice Care Agency · Willow Grove, PA
NPI 1770564965 · NPPES record last updated Dec 1, 2016
Key facts
- NPI
- 1770564965
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 152499 (PA)
- Legal business name
- ABINGTON MEMORIAL HOSPITAL
- Practice address
- 2510 Maryland Rd
Suite 250
Willow Grove, PA 19090-1109 - Phone
- (215) 481-5800
- Fax
- (215) 481-5850
- NPI assigned
- Nov 7, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- ABINGTON MEMORIAL HOSPITAL
Authorized official
- Name
- Mr. Larry Merlis
- Title
- President/Ceo
- Phone
- (215) 481-5837
Member of 1
Change of ownership 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Jun 6, 2022 | Change of Ownership |
Jefferson Health at Home by Bayada |
National Provider Directory
- Part of
- Abington Adult Medical
Locations
2510 Maryland Rd
Ste 250
Willow Grove, PA 19090
Phone (215) 481-5800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 152499 | PA | Yes |
Addresses
Primary practice location
2510 Maryland Rd
Suite 250
Willow Grove, PA 19090-1109
Mailing address
2510 Maryland Rd
Suite 250
Willow Grove, PA 19090-1109
Phone (215) 481-5800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152499 | Medicaid | PA |
Other names
- Jefferson Health Hospice
Other providers in Willow Grove, PA
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All providers in Willow Grove, PA · Community Based Hospice Care Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.