PHHC Scranton Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PHHC SCRANTON HOSPICE, LLC

Practice address

1126 Meade St
Dunmore, PA 18512-3196

Phone

(570) 342-3314

Fax

(570) 342-3315

NPI assigned

Feb 6, 2015

Organization subpart

No

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

Authorized official

Name

George S Repchick

Title

President

Phone

(216) 292-5706

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

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

• Signal PA Hospice, LLC

  • Community Based Hospice Care Agency
  • Blakely, PA
  • NPI 1043783236

  Sold to, 2019-01-01

  CMS change of ownership

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1831580281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 MEADE ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185123196",
            "telephone_number": "570-342-3314",
            "fax_number": "570-342-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 MEADE ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185123196",
            "telephone_number": "570-342-3314",
            "fax_number": "570-342-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHHC SCRANTON HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "REPCHICK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-292-5706"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennsylvania Ambulance LLC
• Pennsylvania CVS Pharmacy, L.L.C.
• Taylor Perry, D.C.
• Christopher Albert Peters, MD
• Andrea Mary Petitto Long, PHARMD
• PHHC Scranton, LLC
• Joseph F Philbin, MD
• Jennifer Edna Pierce, PAC
• Maura Pinto, LPC
• Thaddeus A Piotrowski, M.D.

• All providers in Dunmore, PA
• Community Based Hospice Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.