Organization Active NPI

Eleanor's Garden LLC

  • Community Based Hospice Care Agency
  • Philadelphia, PA
National Provider Identifier
1922424027
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
17701601 Issued in PA
Legal business name
ELEANOR'S GARDEN LLC
Practice address
10125 Verree Rd
Suit 202
Philadelphia, PA 19116-3611
Phone
(215) 302-2003
Fax
(215) 941-7304
NPI assigned
Mar 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Barbara G Rossi, RN
Title
Coo
Phone
(215) 302-2003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 17701601 PA Primary

Addresses

Primary practice location

10125 Verree Rd
Suit 202
Philadelphia, PA 19116-3611

Mailing address

10125 Verree Rd
Suite 202
Philadelphia, PA 19116-3611
Phone (215) 302-2003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

10125 Verree Rd
Ste 202
Philadelphia, PA 19116
Phone (215) 302-2003

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Aug 30, 2018 Change of OwnershipThis provider was the seller Constellation HospiceCCN 391770, PA, NPI 1407335706

Change of ownership 1

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

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1922424027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10125 VERREE RD",
            "address_2": "SUITE 202",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163611",
            "telephone_number": "215-302-2003",
            "fax_number": "215-941-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10125 VERREE RD",
            "address_2": "SUIT 202",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163611",
            "telephone_number": "215-302-2003",
            "fax_number": "215-941-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEANOR'S GARDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "215-302-2003",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "17701601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.