Active NPI
Vna of Cleveland Hospice
- Hospice Registered Nurse
- Cleveland, OH
National Provider Identifier
1023095528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice Registered Nurse
- License
- 0035HSP
- Legal business name
- VNA OF CLEVELAND HOSPICE
- Doing business as
- VNA Hospice
- Practice address
- 2500 East 22 Street
Vna of Cleveland Hospice
Cleveland, OH 44115 - Phone
- (216) 931-1450
- Fax
- (216) 694-6355
- NPI assigned
- Dec 27, 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
- Ms. Roberta L Ladrie, RN BSN EMBA
- Title
- Executive Vice President
- Phone
- (216) 931-1320
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice Registered Nurse | 163WH1000X | 0035HSP | OH | Primary |
Addresses
Primary practice location
2500 East 22 Street
Vna of Cleveland Hospice
Cleveland, OH 44115
Mailing address
2500 East 22 Street
Vna of Cleveland Hospice
Cleveland, OH 44115
Phone (216) 931-1450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0830140 | Medicaid | OH |
Other names 1
- VNA Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090113000573 | OH | Part A Provider - Hospice | 0345256046 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Brooklyn Heights, OH |
Hospice certification: CCN 361547
- Legal name
- VISITING NURSE ASSOCIATION OF CLEVELAND HOSPICE
- Doing business as
- VNA OF OHIO HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jul 6, 1990
- Last certification
- Jan 18, 2019
- Ownership / control type
- Non-Profit - Private
- Organization structure
- Corporation
- Incorporated
- Dec 4, 1989 in OH
- Enrollment address
- 925 Keynote Cir
Ste 300
Brooklyn Heights, OH 44131-1869
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community Based Hospice Care Agency
- Brooklyn Heights, OH
- NPI 1114105202
O20090113000573
Care Compare: Hospice
Medicare Care Compare- Listed as
- Visting Nurse Association of Cleveland Hospice
- Ownership
- Non-Profit
- Certified
- Jul 6, 1990
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Jackie Newbert | W-2 Managing Employee | Dec 1, 2025 | 5% |
| Louis J Demicco | Contracted Managing Employee | Feb 1, 2025 | 5% |
| Joshua Brett Rosen | 5% Or Greater Indirect Ownership Interest | May 1, 2025 | 35% |
| Corporate Officer | May 1, 2025 | 35% | |
| Corporate Director | May 1, 2025 | 35% | |
| Jaclyn Bachik | W-2 Managing Employee | Feb 20, 2026 | |
| Operational/Managerial Control | Feb 20, 2026 | ||
| Matthew John Johnson | 5% Or Greater Indirect Ownership Interest | May 1, 2025 | 65% |
| Corporate Officer | May 1, 2025 | 65% | |
| Corporate Director | May 1, 2025 | 65% | |
| Benevolent Cleveland Hospice Holdings LLC | 5% Or Greater Direct Ownership Interest | May 1, 2025 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Emergency Medicine Physician
- Parma, OH
- NPI 1568502466
Contracted Managing Employee
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769558400000",
"number": "1023095528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 EAST 22 STREET",
"address_2": "VNA OF CLEVELAND HOSPICE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44115",
"telephone_number": "216-931-1450",
"fax_number": "216-694-6355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 EAST 22 STREET",
"address_2": "VNA OF CLEVELAND HOSPICE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44115",
"telephone_number": "216-931-1450",
"fax_number": "216-694-6355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VNA OF CLEVELAND HOSPICE",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-27",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A",
"authorized_official_last_name": "LADRIE",
"authorized_official_first_name": "ROBERTA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "216-931-1320",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN BSN EMBA"
},
"taxonomies": [
{
"code": "163WH1000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Hospice",
"state": "OH",
"license": "0035HSP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0830140",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VNA Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.