Progressive Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PROGRESSIVE HOSPICE, LLC

Doing business as

Serenity Hospice

Practice address

4466 Darrow Rd. Ste. 9
Stow, OH 44224

Phone

(330) 686-9900

Fax

(330) 686-9908

NPI assigned

Sep 16, 2014

Last updated

Sep 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eitan Flank

Title

Owner

Phone

(216) 661-6800

Specialties & licenses 1

Addresses

Other names 1

• Serenity Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093116519. Details of each certification follow.

• CCN 361691 Hospice · Active · Details

Hospice certification: CCN 361691

Legal name

PROGRESSIVE HOSPICE, LLC

Doing business as

SERENITY HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 17, 2016

Last certification

Apr 7, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Nov 1, 2014 in OH

Enrollment address

4491 Darrow Rd
Ste 1
Stow, OH 44224

Listed as

Serenity HospiceCCN 361691 · All quality measures

Ownership

For-Profit

Certified

Feb 17, 2016

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

Locations

All disclosed owners & managing parties 6

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

Affiliated clinicians 2

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

• Vernon J Hershberger, M.D.

  • Family Medicine Physician
  • Akron, OH
  • NPI 1205845500

  Hospice

  Care Compare affiliation
• Michael Lewis Schmees II, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Akron, OH
  • NPI 1225492754

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1093116519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 DARROW ROAD STE. 9",
            "city": "STOW",
            "state": "OH",
            "postal_code": "44224",
            "telephone_number": "330-686-9900",
            "fax_number": "330-686-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 DARROW RD. STE. 9",
            "city": "STOW",
            "state": "OH",
            "postal_code": "44224",
            "telephone_number": "330-686-9900",
            "fax_number": "330-686-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "FLANK",
        "authorized_official_first_name": "EITAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-661-6800"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kim M Price, LISW
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• Myung Jin Kara Purves, IMFT
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• Community Based Hospice Care Agency in Stow, OH
• Providers in Stow, OH by specialty
• Community Based Hospice Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.