Active NPI
Endless Journey
Doing business as Endless Journey LLC
- Community Based Hospice Care Agency
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ENDLESS JOURNEY
- Doing business as
- Endless Journey LLC
- Practice address
- 10831 Old Mill Rd Ste 400
Omaha, NE 68154-2640 - Phone
- (402) 800-8145
- Fax
- (402) 493-1794
- NPI assigned
- Oct 26, 2016
- Last updated
- Dec 13, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michele Barmettler
- Title
- Cfo
- Phone
- (402) 800-8145
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
10831 Old Mill Rd Ste 400
Omaha, NE 68154-2640
Mailing address
10831 Mill Valley Road
400
Omaha, NE 68154-2640
Phone (402) 800-8145
Other names 1
- Endless Journey LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170209001185 | NE | Part A Provider - Hospice | 3375826787 | Practice locations: Omaha, NE |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1073065033. Details of each certification follow.
Hospice certification: CCN 281519
- Legal name
- ENDLESS JOURNEY
- Doing business as
- ENDLESS JOURNEY LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 31, 2017
- Last certification
- Sep 13, 2021
- Ownership / control type
- Proprietary - Other
- Organization structure
- LLC
- Incorporated
- Nov 6, 2015 in NE
- Enrollment address
- 10831 Old Mill Rd
Ste 400
Omaha, NE 68154-2640
Care Compare: Hospice
Medicare Care Compare- Listed as
- Endless Journey, LLC
- Ownership
- For-Profit
- Certified
- Mar 31, 2017
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
10831 ML Vly Rd
400
Omaha, NE 68154
10831 Old Mill Rd
Ste 400
Omaha, NE 68154
Phone (402) 800-8145
10909 Mill Valley Rd
Ste 205
Omaha, NE 68154
Ownership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Michele Barmettler | Corporate Officer | Apr 1, 2024 | 4% |
| Corporate Director | Apr 28, 2021 | 4% | |
| W-2 Managing Employee | Apr 28, 2021 | 4% | |
| Operational/Managerial Control | Apr 28, 2021 | 4% | |
| Marwan R Salfity | 5% Or Greater Direct Ownership Interest | Apr 28, 2021 | 18% |
| 5% Or Greater Security Interest | Apr 28, 2021 | 18% | |
| Hussam S Abuissa | 5% Or Greater Direct Ownership Interest | Apr 1, 2024 | 20% |
| 5% Or Greater Security Interest | Apr 1, 2024 | 20% | |
| Nikki Beck | Corporate Director | Apr 1, 2024 | |
| W-2 Managing Employee | Apr 1, 2024 | ||
| Operational/Managerial Control | Apr 1, 2024 | ||
| Carmella N Imig | Contracted Managing Employee | Dec 31, 2024 | |
| Eyad Farhan Kakish | 5% Or Greater Direct Ownership Interest | Apr 1, 2024 | 23% |
| 5% Or Greater Security Interest | Apr 1, 2024 | 23% | |
| Melanie Costlow | 5% Or Greater Direct Ownership Interest | Apr 1, 2024 | 14% |
| 5% Or Greater Security Interest | Apr 1, 2024 | 14% | |
| Osama Kakish | 5% Or Greater Direct Ownership Interest | Jan 1, 2022 | 21% |
| 5% Or Greater Security Interest | Jan 1, 2022 | 21% |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Clinical Cardiac Electrophysiology Physician
- Omaha, NE
- NPI 1679500862
5% Or Greater Direct Ownership Interest, 5% Or Greater Security Interest
-
- Family Medicine Physician
- Gretna, NE
- NPI 1194823302
Contracted Managing Employee
-
- Family Medicine Physician
- Omaha, NE
- NPI 1902892268
5% Or Greater Direct Ownership Interest, 5% Or Greater Security Interest
-
- Cardiovascular Disease Physician
- Omaha, NE
- NPI 1053361824
5% Or Greater Direct Ownership Interest, 5% Or Greater Security Interest
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Medicine Physician
- Bellevue, NE
- NPI 1811955685
-
- Family Medicine Physician
- Gretna, NE
- NPI 1194823302
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1043253222
Affiliated clinicians 3
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": "1477440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639353600000",
"number": "1073065033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10831 MILL VALLEY ROAD",
"address_2": "400",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542640",
"telephone_number": "402-800-8145",
"fax_number": "402-493-1794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10831 OLD MILL RD STE 400",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542640",
"telephone_number": "402-800-8145",
"fax_number": "402-493-1794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDLESS JOURNEY",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-26",
"last_updated": "2021-12-13",
"certification_date": "2021-12-08",
"status": "A",
"authorized_official_last_name": "BARMETTLER",
"authorized_official_first_name": "MICHELE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "402-800-8145"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Endless Journey LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Endless Journey LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.