Active NPI
County of Chester
- Skilled Nursing Facility
- West Chester, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 162002
- Legal business name
- COUNTY OF CHESTER
- Practice address
- 1695 Lenape Rd
West Chester, PA 19382-6801 - Phone
- (610) 793-1212
- Fax
- (610) 793-2493
- NPI assigned
- Jul 18, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Raymond A Larson
- Title
- Administrator
- Phone
- (610) 793-1212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 162002 | PA | Primary |
Addresses
Primary practice location
1695 Lenape Rd
West Chester, PA 19382-6801
Mailing address
1695 Lenape Rd
West Chester, PA 19382-6800
Phone (610) 793-1212
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0445390001 | Other | PA | NSC # DMERCA MC-B'S |
| 100765534-0002 | Medicaid | PA | |
| 005967 | Other | PA | KEYSTONE EAST PROVIDER # |
| 5967 | Other | PA | BLUE CROSS PROVIDER# |
| 100765534-0004 | Other | PA | 2ND PROMISE# PA MEDICAID |
Other names 1
- Pocopson Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040202000337 | PA | Part A Provider - Skilled Nursing Facility | 5991608382 | Practice locations: West Chester, PA |
Skilled nursing facility certification: CCN 395384
- Legal name
- COUNTY OF CHESTER
- Doing business as
- POCOPSON HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1977
- Last certification
- Feb 13, 2025
- Beds
- 275
- Ownership / control type
- County
- Organization structure
- Government
- Enrollment address
- 1695 Lenape Rd
Pocopson Home
West Chester, PA 19382-6801 - Nursing home name
- POCOPSON HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pocopson Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Apr 1, 1977
- Medicare certification status
- Active
- Certified beds
- 275
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0657907 | Pocopson Home Chester Cnty | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- County of Chester
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- West Chester, PA
- NPI 1497749709
-
- Case Management Agency
- West Chester, PA
- NPI 1134113392
-
- Case Management Agency
- West Chester, PA
- NPI 1225022536
-
- Public Health or Welfare Agency
- West Chester, PA
- NPI 1821082199
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jacqueline McKenna | Corporate Director | Sep 1, 2013 | 100% |
| W-2 Managing Employee | Sep 1, 2013 | 100% | |
| Operational/Managerial Control | Sep 1, 2013 | 100% | |
| Thomas Mancill | Operational/Managerial Control | Jul 31, 2003 | 100% |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- West Chester, PA
- NPI 1578571063
-
- Family Medicine Physician
- Thorndale, PA
- NPI 1790765303
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1992704589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1695 LENAPE RD",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193826800",
"telephone_number": "610-793-1212",
"fax_number": "610-793-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1695 LENAPE RD",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193826801",
"telephone_number": "610-793-1212",
"fax_number": "610-793-2493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF CHESTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-18",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "LARSON",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "610-793-1212",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "162002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NSC # DMERCA MC-B'S",
"identifier": "0445390001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100765534-0002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE EAST PROVIDER #",
"identifier": "005967",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER#",
"identifier": "5967",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "2ND PROMISE# PA MEDICAID",
"identifier": "100765534-0004",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pocopson Home",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.