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Organization Active NPI

Holy Redeemer Health System

Doing business as Holy Redeemer Home Care - PA

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1972577617
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
710405 Issued in PA
Legal business name
HOLY REDEEMER HEALTH SYSTEM
Doing business as
Holy Redeemer Home Care - PA
Practice address
12265 Townsend Road
Philadelphia, PA 19154-1214
Phone
(800) 346-6462
Fax
(215) 671-9708
NPI assigned
Feb 16, 2006
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Mr. George W Hamilton
Title
VP Finance
Phone
(215) 698-3726

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 710405 PA Primary
Community/Behavioral Health Agency 251S00000X 710405 PA

Addresses

Primary practice location

12265 Townsend Road
Philadelphia, PA 19154-1214

Mailing address

12265 Townsend Road
Philadelphia, PA 19154-1214
Phone (800) 346-6462

Other names 1

  • HOLY REDEEMER HOME CARE - PA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060328000377 PA Part A Provider - Home Health Agency 5496795312 Practice locations: Philadelphia, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972577617. Details of each certification follow.

Home health agency certification: CCN 397104A

Legal name
HOLY REDEEMER HEALTH SYSTEM
Doing business as
HOLY REDEEMER HOME CARE-PA
Organization structure
CorporationNon-profit
Incorporated
Jun 12, 1956 in PA
Enrollment address
12265 Townsend Rd
Philadelphia, PA 19154-1201
HHA Branch

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Holy Redeemer Home Care-PACCN 397104
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Jul 19, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
Tax ID family
Pathology Holy Redeemer10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12265 Townsend Rd
Ste 400
Philadelphia, PA 19154
Phone (215) 671-9200

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
William Sasso Individual Corporate DirectorBoard Member Jan 1, 2012
Michael B Laign Individual Corporate OfficerPresident/Ceo Oct 1, 1997
Corporate DirectorBoard Member Oct 1, 1997
W-2 Managing EmployeePresident/Ceo Oct 1, 1997
Operational/Managerial ControlPresident/Ceo Oct 1, 1997
Donald F Friel Individual Corporate OfficerAssistant Treasurer Nov 19, 2003
Cristina Peoples Individual Corporate OfficerSecretary Jul 1, 2021
W-2 Managing EmployeeSecretary Jul 1, 2021
Joseph Ragg Individual Corporate DirectorBoard Member Dec 1, 2019
Charlotte McKinnes Individual Corporate DirectorBoard Member Nov 1, 2013
James Lynch Individual Corporate DirectorBoard Member Jan 1, 2012
Marc Crespi Individual Corporate DirectorBoard Member Jan 1, 2012
Ellyn Ito Individual Corporate DirectorBoard Member Nov 1, 2017
James Rodgers Individual Corporate DirectorBoard Member Jan 1, 2020
Guy E McElwain Individual Corporate DirectorBoard Member Jan 1, 2012
S Nicholas Lezzi Individual Corporate DirectorBoard Member Jan 1, 2014
Holy Redeemer Health System Organization, Huntingdon Valley, PA Corporation, Non-profit Other Feb 23, 1973 100%
Beth Dupree Individual Corporate DirectorBoard Member Nov 1, 2017
Ronald Brooks Individual Corporate DirectorBoard Member Jan 1, 2012
Robyn Walsh Individual Corporate DirectorBoard Member Jan 1, 2012
George W Hamilton Individual W-2 Managing EmployeeVice President of Finance Jan 1, 2012
Operational/Managerial ControlVP Finance Jul 19, 2022
Michael Keen Individual Corporate Officer Mar 1, 2020
W-2 Managing Employee Mar 1, 2020
Tabsha a Graham Individual W-2 Managing EmployeeVice President Apr 23, 2018

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Holy Redeemer HospitalMeadowbrook, PA, CCN 390097 Hospital Other (100%) Sep 5, 1991
Senior Behavorial HealthMeadowbrook, PA, CCN 39S097 Hospital Other (100%) Oct 1, 1997
Rothman Orthopaedic Specialty HospitalBensalem, PA, CCN 390322 Hospital 5% Or Greater Direct Ownership Interest (5%) May 26, 2010
St. Josephs ManorMeadowbrook, PA, CCN 395006 Skilled nursing facility Other (100%) Jan 1, 1990
Holy Redeemer Diabetes CounselingDarby, PA, CCN 395821 Skilled nursing facility Adp of the SNF
Direct Ownership Interest (100%)		 Dec 15, 2017
Dec 15, 2017
HRH Transitional Care UnitMeadowbrook, PA, CCN 395861 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Sep 5, 2011
Sep 5, 2011
Sep 5, 2011
Holy Redeemer Home Care- NJ SouthRunnemede, NJ, CCN 317025 Home health agency Operational/Managerial Control (100%) Oct 1, 2004
Holy Redeemer Hospice - NJ, SouthRunnemede, NJ, CCN 311513 Hospice Operational/Managerial Control (100%) Jul 5, 2021
Holy Redeemer Hospice-PAPhiladelphia, PA, CCN 391514A Hospice Other (100%) Feb 23, 1973

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 141

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

View all 141

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1972577617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12265 TOWNSEND ROAD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541214",
            "telephone_number": "800-346-6462",
            "fax_number": "215-671-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12265 TOWNSEND ROAD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541214",
            "telephone_number": "800-346-6462",
            "fax_number": "215-671-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY REDEEMER HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "215-698-3726",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "710405",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "710405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLY REDEEMER HOME CARE - PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HOLY REDEEMER HOME CARE - PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.