Signal PA Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SIGNAL PA HOSPICE, LLC

Doing business as

Personal Home Health Care and Hospice

Practice address

1716 Main St
Blakely, PA 18447

Phone

(570) 342-3314

NPI assigned

Jan 10, 2019

Last updated

Sep 3, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

SIGNAL PA HOSPICE, LLCAs reported in NPPES

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

Authorized official

Name

Mark Siderowicz

Title

Ceo

Phone

(570) 342-3314

Specialties & licenses 1

Addresses

Other names 1

• Personal Home Health Care and Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043783236. Details of each certification follow.

• CCN 391772 Hospice · Active · Details

Hospice certification: CCN 391772

Legal name

SIGNAL PA HOSPICE LLC

Doing business as

PERSONAL HOME HEALTHCARE AND HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 2, 2015

Last certification

Oct 28, 2021

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Incorporated

Oct 5, 2018 in PA

Enrollment address

233 Main Street
Blakely, PA 18447

Listed as

Personal Home Healthcare and HospiceCCN 391772 · All quality measures

Ownership

For-Profit

Certified

Oct 2, 2015

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Part of

Signal PA Hospice LLC

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Signal PA Home Health, LLC

  dba Personal Home Health Care & Hospice

  • Home Health Agency
  • Blakely, PA
  • NPI 1033682364

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 5

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

Owners & managing parties with NPI records 1

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

• Francis J Schell, MD

  • Emergency Medicine Physician
  • Carbondale, PA
  • NPI 1639164395

  Other

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Signal PA Home Health, LLC

  dba Personal Home Health Care & Hospice

  • Home Health Agency
  • Blakely, PA
  • NPI 1033682364

  Signal PA Holdings, LLC

  CMS ownership

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• PHHC Scranton Hospice, LLC

  • Community Based Hospice Care Agency
  • Dunmore, PA
  • NPI 1831580281

  Acquired from, 2019-01-01

  CMS change of ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jesse Kabana, MSN, CRNP, FNP-C

  • Family Medicine Physician
  • Blakely, PA
  • NPI 1184344376
  NPD
• Francis J Schell, MD

  • Emergency Medicine Physician
  • Carbondale, PA
  • NPI 1639164395
  NPD (past)

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1043783236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 MAIN ST",
            "city": "BLAKELY",
            "state": "PA",
            "postal_code": "18447",
            "telephone_number": "234-466-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 MAIN ST",
            "city": "BLAKELY",
            "state": "PA",
            "postal_code": "18447",
            "telephone_number": "570-342-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNAL PA HOSPICE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIGNAL PA HOSPICE, LLC",
        "enumeration_date": "2019-01-10",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "SIDEROWICZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-342-3314"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Home Health Care and Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Personal Home Health Care and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Craig Thomas Scanland, DPM
• John A Scanland, DPM
• Michael Senyk, DC
• Alexandra Sharpe
• Signal PA Home Health, LLC (Personal Home Health Care & Hospice)
• Smola Chiropractic
• Paul M Smola, DC
• Michael A. Stachacz, D.C
• Stefanelli Counseling and Consulting LLC
• Marlee Lynn Stefanelli, MS, LPC, RD, LDN

• Community Based Hospice Care Agency in Blakely, PA
• Providers in Blakely, PA by specialty
• Community Based Hospice Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.

Verify at the official NPI Registry.