NPIMap

Organization Active NPI

Main Line Health Homecare and Hospice

Doing business as Main Line Health HomeCare & Hospice - Hospice

  • Community Based Hospice Care Agency
  • Radnor, PA
National Provider Identifier
1881629228
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
158399 Issued in PA
Legal business name
MAIN LINE HEALTH HOMECARE AND HOSPICE
Doing business as
Main Line Health HomeCare & Hospice - Hospice
Practice address
240 N Radnor Chester Rd
Suite 100
Radnor, PA 19087-5170
Phone
(484) 580-1400
Fax
(484) 580-1414
NPI assigned
Jul 12, 2006
Last updated
Dec 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Terre L. Mirsch, MS, BSN, CHPCA, CHPN
Title
President
Phone
(484) 580-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 158399 PA Primary

Addresses

Primary practice location

240 N Radnor Chester Rd
Suite 100
Radnor, PA 19087-5170

Mailing address

240 N Radnor Chester Rd
Suite 100
Radnor, PA 19087-5170
Phone (484) 580-1400

Other identifiers 1

IdentifierTypeStateIssuer
1007537580001MedicaidPA

Other names 1

  • Main Line Health HomeCare & Hospice - Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224001156 PA Part A Provider - Hospice 1052228780 Practice locations: Radnor, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881629228. Details of each certification follow.

Hospice certification: CCN 391583A

Legal name
MAIN LINE HEALTH HOMECARE AND HOSPICE
Doing business as
MAIN LINE HEALTH HOMECARE & HOSPICE-HOSPICE
Organization structure
CorporationNon-profit
Incorporated
Feb 28, 1984 in PA
Enrollment address
240 N Radnor Chester Rd
Ste 100
Radnor, PA 19087-2121

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
Main Line Health Homecare & Hospice - HospiceCCN 391583
Ownership
Non-Profit
Certified
Jul 14, 1994
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Pamela a Boyd Individual W-2 Managing EmployeeDirector Quality and Safety Jan 1, 2024
John J Lynch Individual Corporate OfficerCeo Aug 8, 2005
Corporate DirectorBoard Chairperson Aug 8, 2005
Susan Harrigan Individual Corporate Officer Feb 19, 2025
W-2 Managing EmployeeAd; Jan 1, 2013
Operational/Managerial ControlVP Patient Services Feb 19, 2025
Donna M Phillips Individual Corporate DirectorBoard Member Mar 11, 2004
Leigh Ehrlich Individual Corporate OfficerVP, Chief Financial Officer Jan 1, 2024
Main Line Diversified Services Organization, Radnor, PA Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2002 100%

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 79

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

View all 79

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": "1701388800000",
    "number": "1881629228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N RADNOR CHESTER RD",
            "address_2": "SUITE 100",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190875170",
            "telephone_number": "484-580-1400",
            "fax_number": "484-580-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N RADNOR CHESTER RD",
            "address_2": "SUITE 100",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190875170",
            "telephone_number": "484-580-1400",
            "fax_number": "484-580-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE HEALTH HOMECARE AND HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "MIRSCH",
        "authorized_official_first_name": "TERRE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-580-1400",
        "authorized_official_credential": "MS, BSN, CHPCA, CHPN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "158399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007537580001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Line Health HomeCare & Hospice - Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Main Line Health HomeCare & Hospice - Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Radnor, PA

Sources for this page

Verify at the official NPI Registry.