Organization Active NPI

Abington Memorial Hospital

Doing business as Jefferson Health Hospice

  • Community Based Hospice Care Agency
  • Willow Grove, PA
National Provider Identifier
1770564965
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
152499 Issued in PA
Legal business name
ABINGTON MEMORIAL HOSPITAL
Doing business as
Jefferson Health Hospice
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
Last updated
Dec 1, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
ABINGTON MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Authorized official

Name
Mr. Larry Merlis
Title
President/Ceo
Phone
(215) 481-5837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 152499 PA Primary

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 names 1

  • Jefferson Health Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
Brecher and Knapp

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jun 6, 2022 Change of OwnershipThis provider was the seller Jefferson Health at Home by BayadaCCN 391524B, PA, NPI 1538816871

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1770564965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 MARYLAND RD",
            "address_2": "SUITE 250",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901109",
            "telephone_number": "215-481-5800",
            "fax_number": "215-481-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 MARYLAND RD",
            "address_2": "SUITE 250",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901109",
            "telephone_number": "215-481-5800",
            "fax_number": "215-481-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABINGTON MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABINGTON MEMORIAL HOSPITAL",
        "enumeration_date": "2005-11-07",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "MERLIS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "215-481-5837",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "152499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Health Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.