MEDICARE: WISSAHICKON HOSPICE OF UPHS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	720305	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306882709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WISSAHICKON HOSPICE OF UPHS

Provider Business Mailing Address
First Line	:	150 MONUMENT RD STE 600
Second Line	:
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-1701
Country	:	US
Telephone Number	:	610-617-2400
Fax Number	:	610-617-2438

Provider Business Practice Location Address
First Line	:	150 MONUMENT RD STE 600
Second Line	:
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-1701
Country	:	US
Telephone Number	:	610-617-2400
Fax Number	:	610-617-2438

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	DAVID ALEXANDER
Credential	:
Telephone Number	:	484-431-3556

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	09/09/2025

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Directions to “WISSAHICKON HOSPICE OF UPHS ” Practice Location

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