NPIMap

Organization Active NPI

Southwest General Health Center

Doing business as Southwest General Hospice

  • Community Based Hospice Care Agency
  • Strongsville, OH
National Provider Identifier
1063444800
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SOUTHWEST GENERAL HEALTH CENTER
Doing business as
Southwest General Hospice
Practice address
18659 Drake Rd
Strongsville, OH 44136-7059
Phone
(440) 816-5000
Fax
(440) 816-5038
NPI assigned
Jul 6, 2006
Last updated
Mar 14, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST GENERAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
William Young Jr.
Title
President/Ceo
Phone
(440) 816-6701

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary
Inpatient Hospice 315D00000X

Addresses

Primary practice location

18659 Drake Rd
Strongsville, OH 44136-7059

Mailing address

18659 Drake Rd
Strongsville, OH 44136-7059
Phone (440) 816-5040

Other identifiers 6

IdentifierTypeStateIssuer
1508074OtherUNITED MINE WORKERS
5000079OtherUNITED HEALTHCARE
87937OtherQUALCHOICE
0065710OtherAETNA
0820455MedicaidOH
000000219163OtherANTHEM

Other names 1

  • Southwest General Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061018000001 OH Part A Provider - Hospice 7012909245 Practice locations: Strongsville, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063444800. Details of each certification follow.

Hospice certification: CCN 361530

Legal name
SOUTHWEST GENERAL HEALTH CENTER
Doing business as
SOUTHWEST GENERAL HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 30, 1988
Last certification
Jun 24, 2021
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Oct 25, 1920 in OH
Enrollment address
18659 Drake Rd
Strongsville, OH 44136-7059

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Southwest General HospiceCCN 361530 · All quality measures
Ownership
Non-Profit
Certified
Aug 30, 1988
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
36D1009149Southwest General Hospice18659 Drake Road, Strongsville, OH 44136Certificate of waiverFeb 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Southwest General Healt8 organizations share this tax ID, including this one
Part of
Southwest General Healt

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 4

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

Locations

18659 Drake Rd
Strongsville, OH 44136
Phone (440) 816-5000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/7e89f9ba-2516-4eb3-98da-9f8cb196a8d0/

Ownership & related parties

All disclosed owners & managing parties 32

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

NameRoleSinceShare
William Gary Individual Corporate DirectorTrustee Jun 1, 2017
Robert T Krivak Individual Corporate DirectorTrustee Jun 1, 2016
Lavonne E Pulliam Individual Corporate DirectorTrustee Jun 15, 2023
Christine a Lobas Individual Corporate DirectorTrustee Jun 1, 2016
Danelle Villers Individual W-2 Managing EmployeeDirector of Hospice Aug 29, 2025
Geoffrey P Allman Individual Corporate DirectorTrustee Jun 30, 2022
Nicolette E Scott Individual Corporate DirectorTrustee May 12, 2022
Albert E Matyas Individual Corporate OfficerVP/Marketing and Development Dec 3, 2007
Adrian Maldonado Individual Corporate OfficerVice Treasurer Jun 1, 2016
Paul Robert Hinchey Individual Corporate DirectorTrustee Jan 1, 2022
Gregory J Rogers Individual Corporate OfficerVP Med Staff Jan 1, 2023
Shelley a Chornak Individual Corporate Director Jan 1, 2023
Darrell Lentz Individual Corporate OfficerVice President & Cfo Aug 6, 2025
Cynthia V Schulz Individual Corporate OfficerChairman Jun 1, 2016
Ken D Semelsberger Individual Corporate DirectorTrustee Jun 1, 2017
Joni O Edwards Individual Corporate OfficerVP Human Resources Jan 27, 2021
Jamie Zayed Individual Corporate OfficerVice President Cio Aug 5, 2024
Ferdinand M Plecha Individual Corporate OfficerVP Chief Medical Officer Jan 1, 2018
William a Young Individual Corporate OfficerPresident/Ceo Jan 1, 2016
Thomas M Wynne Individual Corporate DirectorTrustee Jun 1, 2017
Southwest Community Health System Organization, Middleburg Heights, OH Corporation, Non-profit Operational/Managerial Control Jul 25, 2008 100%
David Sylvan Individual Corporate DirectorTrustee Jan 1, 2023
James F Sheppard Individual Corporate DirectorTrustee Jun 1, 2016
Wayne E Brassell Individual Corporate DirectorTrustee Jun 1, 2016
Brian Monter Individual Corporate DirectorTrustee Jan 1, 2022
Paul Tait Individual Corporate DirectorTrustee Jun 1, 2016
Theodoros N Teknos Individual Corporate DirectorTrustee Jan 1, 2020
Rickey J Shyne, PHD Individual Corporate DirectorTrustee Jun 1, 2016
Thomas W Laub Individual Corporate DirectorTrustee Jan 1, 2022
Brett C Hazzard Individual Corporate DirectorTrustee Jan 1, 2022
John a Alton Individual Corporate OfficerPresident Medical Staff Jan 1, 2019
Martha F Bauschka Individual Corporate OfficerVP Patient Care Services /Cno Dec 17, 2007

Owners & managing parties with NPI records 5

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

Facilities with the same owner 4

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Affiliated clinicians 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1063444800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18659 DRAKE RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441367059",
            "telephone_number": "440-816-5040",
            "fax_number": "440-816-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18659 DRAKE RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441367059",
            "telephone_number": "440-816-5000",
            "fax_number": "440-816-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST GENERAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST GENERAL HEALTH CENTER",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "440-816-6701",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "1508074",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5000079",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "87937",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0065710",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0820455",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000219163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest General Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Strongsville, OH

Sources for this page

Verify at the official NPI Registry.