Provider Demographics
NPI:1982096053
Name:HOSPICE CARE BY PENNSWOOD VILLAGE
Entity Type:Organization
Organization Name:HOSPICE CARE BY PENNSWOOD VILLAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:T
Authorized Official - Last Name:HOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-504-1119
Mailing Address - Street 1:1382 NEWTOWN LANGHORNE RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-2418
Mailing Address - Country:US
Mailing Address - Phone:215-504-1118
Mailing Address - Fax:
Practice Address - Street 1:1382 NEWTOWN LANGHORNE RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-2418
Practice Address - Country:US
Practice Address - Phone:215-504-1118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PENNSWOOD VILLAGE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-02-26
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient