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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 154899
- 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, 2017
- Organization subpart
- Yes
- Parent organization
- VISITING NURSE ASSOCIATION OF HANOVER & SPRING GROVE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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).
-
- Home Health Agency
- Hanover, PA
- NPI 1891741138
4486698149
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hospice Program/Vna of Hanover and Spring Grove
- Ownership
- Non-Profit
- Certified
- Oct 26, 1990
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Visiting Nurse Assoc
- 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.
-
- Home Health Agency
- Hanover, PA
- NPI 1891741138
-
- Home Health Aide
- Hanover, PA
- NPI 1891817458
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Tamara Lynn Miller | Corporate Director | Nov 28, 2016 | |
| Laura L McCusker | Corporate Director | Mar 23, 2020 | |
| Janice M Swartz | Corporate Director | Mar 31, 2021 | |
| Oliver Hazan | Corporate Officer | Mar 31, 2021 | |
| Corporate Director | Mar 25, 2012 | ||
| Jennifer a Leib | Corporate Director | Mar 28, 2016 | |
| Karen S Nelson | Corporate Director | Mar 23, 2020 | |
| Ashley M Hershey | Corporate Officer | Mar 28, 2022 | |
| Corporate Director | Sep 25, 2017 | ||
| Mary Saunders | Corporate Director | Apr 1, 2011 | |
| Kevin C Maloney | Corporate Officer | Mar 28, 2022 | |
| W-2 Managing Employee | Mar 28, 2022 | ||
| Operational/Managerial Control | Mar 28, 2022 | ||
| Michael Hockenberry | Corporate Officer | Mar 31, 2021 | |
| Corporate Director | Mar 23, 2020 | ||
| Arthur J Becker | Corporate Director | Mar 28, 2022 | |
| Grant J Holub | Corporate Director | Mar 31, 2021 | |
| Ginger a Miller | Corporate Director | Mar 23, 2020 |
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Hanover, PA
- NPI 1053383596
Hospice
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
- Daniel F P Victoria, M.D.
- Lori A. Vidal, CRNP
- Kirankumar Jayram Viramgama, M.D.
- Visionworks, Inc. (Visionworks)
- Visiting Nurse Assn of Hanover & Spring Grove
- Visiting Nurse Assn of Hanover & Spring Grove
- Vladimir Ioffe MD, LLC
- Vna Home Care Plus
- Carey Jennifer Wacker, LMT
- Amanda Harlacher Wagner, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.