Organization Active NPI

Visiting Nurse Assn of Hanover & Spring Grove

Doing business as VNA Hospice of Hanover & Spring Grove

  • Community Based Hospice Care Agency
  • Hanover, PA
National Provider Identifier
1831124189
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
154899 Issued in PA
Legal business name
VISITING NURSE ASSN OF HANOVER & SPRING GROVE
Doing business as
VNA Hospice of Hanover & Spring Grove
Practice address
440 N. Madison Street
Hanover, PA 17331
Phone
(717) 637-1227
NPI assigned
Jul 12, 2006
Last updated
Aug 9, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
VISITING NURSE ASSOCIATION OF HANOVER & SPRING GROVEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

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

Authorized official

Name
Mr. Bryan S Warner
Title
Chief Executive Officer
Phone
(717) 637-1227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 154899 PA Primary

Addresses

Primary practice location

440 N. Madison Street
Hanover, PA 17331

Mailing address

440 N. Madison Street
Hanover, PA 17331
Phone (717) 637-1227

Other names 1

  • VNA Hospice of Hanover & Spring Grove Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060109000393 PA Part A Provider - Hospice 4486698149 Practice locations: Hanover, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831124189. Details of each certification follow.

Hospice certification: CCN 391548

Legal name
VISITING NURSE ASSN OF HANOVER & SPRING GROVE
Doing business as
VNA HOSPICE OF HANOVER AND SPRING GROVE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 26, 1990
Last certification
Apr 30, 2021
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
May 31, 1965 in PA
Enrollment address
440 Madison St
Hanover, PA 17331-4700

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice Program/Vna of Hanover and Spring GroveCCN 391548 · All quality measures
Ownership
Non-Profit
Certified
Oct 26, 1990
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Visiting Nurse Assoc3 organizations share this tax ID, including this one
Part of
Visiting Nurse Assoc

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Tamara Lynn Miller Individual Corporate DirectorBoard Member Nov 28, 2016
Laura L McCusker Individual Corporate Director Mar 23, 2020
Janice M Swartz Individual Corporate Director Mar 31, 2021
Oliver Hazan Individual Corporate OfficerChair Mar 31, 2021
Corporate DirectorBoard Member Mar 25, 2012
Jennifer a Leib Individual Corporate DirectorDirector Mar 28, 2016
Karen S Nelson Individual Corporate Director Mar 23, 2020
Ashley M Hershey Individual Corporate OfficerTreasurer Mar 28, 2022
Corporate Director Sep 25, 2017
Mary Saunders Individual Corporate DirectorBoard Member Apr 1, 2011
Kevin C Maloney Individual Corporate OfficerCeo Mar 28, 2022
W-2 Managing EmployeeChief Executive Officer Mar 28, 2022
Operational/Managerial ControlCeo Mar 28, 2022
Michael Hockenberry Individual Corporate OfficerVice Chair Mar 31, 2021
Corporate Director Mar 23, 2020
Arthur J Becker Individual Corporate DirectorDirector Mar 28, 2022
Grant J Holub Individual Corporate Director Mar 31, 2021
Ginger a Miller Individual Corporate Director Mar 23, 2020

Practitioners & affiliated clinicians

Affiliated clinicians 5

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502236800000",
    "number": "1831124189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N. MADISON STREET",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "17331",
            "telephone_number": "717-637-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N. MADISON STREET",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "17331",
            "telephone_number": "717-637-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ASSN OF HANOVER & SPRING GROVE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VISITING NURSE ASSOCIATION OF HANOVER & SPRING GROVE",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-08-09",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "717-637-1227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "154899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VNA Hospice of Hanover & Spring Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.