Organization Active NPI

Vna of Cleveland Hospice

  • Hospice Registered Nurse
  • Cleveland, OH
National Provider Identifier
1023095528
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice Registered NurseTaxonomy code 163WH1000X
License
0035HSP Issued in OH
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

Updated by the provider on Jan 28, 2026

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)CodeLicenseStatePrimary
Hospice Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0830140MedicaidOH

Other names 1

  • VNA Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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.

Care Compare: Hospice

Medicare Care Compare
Listed as
Visting Nurse Association of Cleveland HospiceCCN 361547 · All quality measures
Ownership
Non-Profit
Certified
Jul 6, 1990
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Jackie Newbert Individual W-2 Managing EmployeeAd;Managing Director Dec 1, 2025 5%
Louis J Demicco Individual Contracted Managing EmployeeMD; Feb 1, 2025 5%
Joshua Brett Rosen Individual 5% Or Greater Indirect Ownership InterestBoard Member; Manager May 1, 2025 35%
Corporate OfficerManager May 1, 2025 35%
Corporate DirectorMember May 1, 2025 35%
Jaclyn Bachik Individual W-2 Managing EmployeeAd;Clinical Manager Feb 20, 2026
Operational/Managerial Control Feb 20, 2026
Matthew John Johnson Individual 5% Or Greater Indirect Ownership InterestBoard Member; Managing Member May 1, 2025 65%
Corporate OfficerManaging Member May 1, 2025 65%
Corporate DirectorMember May 1, 2025 65%
Benevolent Cleveland Hospice Holdings LLC Organization, Dallas, TX Created for acquisition, LLC, Owned by another organization or individual 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.

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

Verify at the official NPI Registry.