NPIMap

Organization Active NPI

Northstar Home Hospice, LLC

  • Community Based Hospice Care Agency
  • Cincinnati, OH
National Provider Identifier
1033947148
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 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
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Hansen, MHA
Title
Senior Vice President of Operations
Phone
(419) 283-5317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250130002571 OH Part A Provider - Hospice 8628507944 Practice locations: Cincinnati, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033947148. Details of each certification follow.

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
LLCProprietary
Incorporated
Jun 17, 2024 in OH
Enrollment address
7265 Kenwood Rd
Ste 250
Cincinnati, OH 45236-4419

Care Compare: Hospice

Medicare Care Compare
Listed as
Northstar Home Hospice LLCCCN 361746 · All quality measures
Certified
Apr 4, 2025
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2312472Northstar Home Hospice, LLC7265 Kenwood Road, Suite 250, Cincinnati, OH 45236Certificate of waiverOct 10, 2026

National Provider Directory

National Provider Directory

Locations

7265 Kenwood Rd
Ste 250
Cincinnati, OH 45236
Phone (513) 587-1990

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Emmanuel V Rivera Individual Contracted Managing EmployeeMD; Jul 1, 2024
Northstar Hospice Pip Holdings, LLC Organization, Cincinnati, OH LLC 5% Or Greater Direct Ownership Interest Jul 1, 2024 25.25%
R&a Healthcare Holdings LLC Organization, Cincinatti, OH LLC 5% Or Greater Direct Ownership Interest Jul 1, 2024 74.75%
James Burns Individual Corporate DirectorCommunity Board Member Jul 1, 2024
Anthony Izquierdo Individual 5% Or Greater Indirect Ownership InterestSecretary Jul 1, 2024 37.38%
Corporate OfficerSecretary Jul 1, 2024
Robert James Individual 5% Or Greater Indirect Ownership InterestPresident Jul 1, 2024 37.38%
Corporate OfficerPresident Jul 1, 2024
Lisa Hansen Individual 5% Or Greater Indirect Ownership InterestVP of Operations Jul 1, 2024 25.25%
Corporate OfficerVP of Operations Jul 1, 2024
W-2 Managing EmployeeAd; Jul 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 10

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1033947148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7265 KENWOOD RD STE 250",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452364419",
            "telephone_number": "513-587-1990",
            "fax_number": "513-572-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7265 KENWOOD RD STE 250",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452364419",
            "telephone_number": "513-587-1990",
            "fax_number": "513-572-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR HOME HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "419-283-5317",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.