Organization Active NPI

County of Chester

  • Skilled Nursing Facility
  • West Chester, PA
National Provider Identifier
1992704589
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
162002 Issued in PA
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0445390001OtherPANSC # DMERCA MC-B'S
100765534-0002MedicaidPA
005967OtherPAKEYSTONE EAST PROVIDER #
5967OtherPABLUE CROSS PROVIDER#
100765534-0004OtherPA2ND PROMISE# PA MEDICAID

Other names 1

  • Pocopson Home Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
GovernmentNon-profit
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 HomeCCN 395384
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Apr 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
275152.2 residents per day on average
Penalties (3 years)
2Fines totaling $16,036

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0657907Pocopson Home Chester Cnty1695 Lenape Rd, West Chester, PA 19382Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
County of Chester5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

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.

NameRoleSinceShare
Jacqueline McKenna Individual Corporate DirectorAdministrator-Pocopson Home Sep 1, 2013 100%
W-2 Managing EmployeeAdministrator-Pocopson Home Sep 1, 2013 100%
Operational/Managerial ControlAdministrator-Pocopson Home Sep 1, 2013 100%
Thomas Mancill Individual Operational/Managerial ControlAccountant Pocopson Home 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.

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

Verify at the official NPI Registry.