NPIMap

Organization Active NPI

Visiting Nurse Assn of Hanover & Spring Grove

  • Home Health Agency
  • Hanover, PA
National Provider Identifier
1891741138
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
706105 Issued in PA
Legal business name
VISITING NURSE ASSN OF HANOVER & SPRING GROVE
Practice address
440 N. Madison Street
Hanover, PA 17331
Phone
(717) 637-1227
Fax
(717) 637-9772
NPI assigned
May 26, 2006
Last updated
Jul 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Mr. Bryan S Warner
Title
President/Ceo
Phone
(717) 637-1227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 706105 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050614000280 PA Part A Provider - Home Health Agency 4486698149 Practice locations: Hanover, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891741138. Details of each certification follow.

Home health agency certification: CCN 397061

Legal name
VISITING NURSE ASSN OF HANOVER & SPRING GROVE
Doing business as
VNA OF HANOVER & SPRING GROVE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 16, 1966
Last certification
Feb 25, 2019
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Aug 18, 1977 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: Home health agency

Medicare Care Compare
Listed as
Vna of Hanover and Spring GroveCCN 397061 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Sep 16, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

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

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 DirectorBoard Member Mar 23, 2020
Janice M Swartz Individual Corporate DirectorBoard Member Mar 31, 2021
Oliver Hazan Individual Corporate OfficerChair Mar 31, 2021
Corporate DirectorBoard Member Apr 1, 2013
Jennifer a Leib Individual Corporate DirectorBoard Member Mar 28, 2016
Karen S Nelson Individual Corporate DirectorBoard Member Mar 23, 2020
Ashley M Hershey Individual Corporate OfficerTreasurer Mar 28, 2022
Corporate DirectorBoard Member Mar 31, 2016
Mary Saunders Individual Corporate DirectorBoard Member Feb 15, 2012
Kevin C Maloney Individual 5% Or Greater Direct Ownership InterestPresident & Ceo Mar 28, 2022
Corporate OfficerPresident & Ceo Mar 28, 2022
W-2 Managing EmployeePresident & Ceo Mar 28, 2022
Operational/Managerial ControlPresident & Ceo Mar 28, 2022
Michael Hockenberry Individual Corporate OfficerVice Chair Mar 31, 2021
Corporate DirectorBoard Member Mar 23, 2020
Arthur J Becker Individual Corporate DirectorBoard Member Mar 28, 2022
Grant J Holub Individual Corporate DirectorBoard Member Mar 31, 2021
Ginger a Miller Individual Corporate DirectorBoard Member Mar 23, 2020

Practitioners & affiliated clinicians

Affiliated clinicians 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1891741138",
    "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",
            "fax_number": "717-637-9772"
        },
        {
            "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",
            "fax_number": "717-637-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ASSN OF HANOVER & SPRING GROVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "717-637-1227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "706105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.