Northstar Home Hospice, LLC
Organization Active NPI Community Based Hospice Care Agency · Cincinnati, OH
NPI 1033947148 · NPPES record last updated Oct 15, 2025
Key facts
- NPI
- 1033947148
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- NORTHSTAR HOME HOSPICE, LLC
- Practice address
- 7265 Kenwood Rd Ste 250
Cincinnati, OH 45236-4419 - Phone
- (513) 587-1990
- Fax
- (513) 572-9412
- NPI assigned
- Jul 22, 2024
- Organization subpart
- No
Authorized official
- Name
- Lisa Hansen, MHA
- Title
- Senior Vice President of Operations
- Phone
- (419) 283-5317
Owners & managing parties with NPI records 1
Affiliated clinicians 10
-
Lucy Kaye Hogan, ARNP
-
Keiko Honda, FNP
-
George K Knight III, RN, CNP
-
Brittany Nicole Ridner, APRN
-
Crystal Ann Strasser, PA-C
Medicare Care Compare: Hospice
- Listed as
- Northstar Home Hospice LLC
- Certified
- Apr 4, 2025
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2312472 | Northstar Home Hospice, LLC | Certificate of waiver | Oct 10, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Hospice certification: CCN 361746
- Legal name
- NORTHSTAR HOME HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Apr 4, 2025
- Last certification
- Mar 26, 2025
- Ownership / control type
- Proprietary - Partnership
- Organization structure
- LLC · Proprietary
- Incorporated
- Jun 17, 2024 in OH
- Enrollment address
- 7265 Kenwood Rd
Ste 250
Cincinnati, OH 45236-4419
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Emmanuel V Rivera |
Contracted Managing Employee |
Jul 1, 2024 | |
| Northstar Hospice Pip Holdings, LLC |
5% Or Greater Direct Ownership Interest | Jul 1, 2024 | 25.25% |
| R&a Healthcare Holdings LLC |
5% Or Greater Direct Ownership Interest | Jul 1, 2024 | 74.75% |
| James Burns |
Corporate Director |
Jul 1, 2024 | |
| Anthony Izquierdo |
5% Or Greater Indirect Ownership Interest |
Jul 1, 2024 | 37.38% |
| Corporate Officer |
Jul 1, 2024 | ||
| Robert James |
5% Or Greater Indirect Ownership Interest |
Jul 1, 2024 | 37.38% |
| Corporate Officer |
Jul 1, 2024 | ||
| Lisa Hansen |
5% Or Greater Indirect Ownership Interest |
Jul 1, 2024 | 25.25% |
| Corporate Officer |
Jul 1, 2024 | ||
| W-2 Managing Employee |
Jul 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250130002571 | OH | Part a Provider - Hospice | 8628507944 | Practice locations: Cincinnati, OH |
National Provider Directory
Locations
7265 Kenwood Rd
Ste 250
Cincinnati, OH 45236
Phone (513) 587-1990
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
7265 Kenwood Rd Ste 250
Cincinnati, OH 45236-4419
Mailing address
7265 Kenwood Rd Ste 250
Cincinnati, OH 45236-4419
Phone (513) 587-1990
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.