Clear Path Hospice of Wichita, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CLEAR PATH HOSPICE OF WICHITA, LLC

Practice address

1861 N Rock Rd Ste 102
Wichita, KS 67206-1264

Phone

(316) 440-6780

Fax

(316) 558-5479

NPI assigned

Jun 29, 2011

Organization subpart

No

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

Authorized official

Name

Deann Louise Pritchard-Gadalla

Title

Coo

Phone

(316) 440-6780

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Hospice certification: CCN 171589

Legal name

CLEAR PATH HOSPICE OF WICHITA, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 18, 2013

Last certification

Jul 21, 2023

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Incorporated

Apr 18, 2011 in KS

Enrollment address

1861 N Rock Rd
Ste 102
Wichita, KS 67206-1264

Listed as

Clear Path Hospice of Wichita LLCCCN 171589 · All quality measures

Ownership

For-Profit

Certified

Apr 18, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Evergreen Group, L.L.C.

  • Home Health Agency
  • Wichita, KS
  • NPI 1740867191

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 9

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 3

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

• Aly A Gadalla, MD

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1083693634

  5% Or Greater Indirect Ownership Interest, Contracted Managing Employee, Corporate Officer

  CMS ownership
• Vijay Kumar Khurana, MD

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1710969548

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Nassim H Nabbout, M.D.

  • Hematology & Oncology Physician
  • Wichita, KS
  • NPI 1528029147

  5% Or Greater Indirect Ownership Interest

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aly A Gadalla, MD

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1083693634
  NPD (past)

Affiliated clinicians 1

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

• Aly A Gadalla, MD

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1083693634

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1063709087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 N ROCK RD STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061264",
            "telephone_number": "316-440-6780",
            "fax_number": "316-558-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 N ROCK RD STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061264",
            "telephone_number": "316-440-6780",
            "fax_number": "316-558-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR PATH HOSPICE OF WICHITA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "PRITCHARD-GADALLA",
        "authorized_official_first_name": "DEANN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "316-440-6780"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate J Clawson, APRN
• Sarah J Clawson, APRN
• Clay in the Potters Hands
• Deshanett Clay, MD
• Sydney Danielle Clay
• Clearpath Home Health of Wichita, LLC
• Paul Cleland, MD
• Ariel Clementi
• Clementine Kansas ABA LLC
• Mary Jane Clements-Bailey, APRN, BC-ANP/GNP

• Community Based Hospice Care Agency in Wichita, KS
• Providers in Wichita, KS by specialty
• Community Based Hospice Care Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.