Mt Hood Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

1983-001 Issued in OR

Legal business name

MT HOOD HOSPICE

Practice address

39085 Pioneer Blvd Ste 1018
Sandy, OR 97055-8081

Phone

(503) 668-5545

Fax

(503) 668-7951

NPI assigned

Jun 1, 2005

Last updated

Oct 18, 2021By 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

Rhonda Christine Franke

Title

Executive Director

Phone

(503) 668-5545

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093717340. Details of each certification follow.

• CCN 381503 Hospice · Active · Details

Hospice certification: CCN 381503

Legal name

MT. HOOD HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 6, 1987

Last certification

Aug 17, 2021

Ownership / control type

Other

Organization structure

CorporationNon-profit

Incorporated

Jul 12, 1980 in OR

Enrollment address

39085 Pioneer Blvd
Ste 1018
Sandy, OR 97055-8081

Listed as

Mt. Hood Hospice, Inc.CCN 381503 · All quality measures

Ownership

For-Profit

Certified

Feb 6, 1987

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.

Owners & managing parties with NPI records 1

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

• Frank Joseph Rinella III, D.O.

  • Family Medicine Physician
  • Hood River, OR
  • NPI 1245292093

  Contracted Managing Employee

  CMS 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.

• Frank Joseph Rinella III, D.O.

  • Family Medicine Physician
  • Hood River, OR
  • NPI 1245292093
  NPD (past)
• Mary Elizabeth Rosenstiel, RN, DNP

  • Registered Nurse
  • Sandy, OR
  • NPI 1376737445
  NPD (past)

Affiliated clinicians 1

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

• Frank Joseph Rinella III, D.O.

  • Family Medicine Physician
  • Hood River, OR
  • NPI 1245292093

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1093717340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1269",
            "address_2": "39641 SCENIC ST.",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970551269",
            "telephone_number": "503-668-5545",
            "fax_number": "503-668-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39085 PIONEER BLVD STE 1018",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970558081",
            "telephone_number": "503-668-5545",
            "fax_number": "503-668-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT HOOD HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "FRANKE",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-668-5545"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OR",
            "license": "1983-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132196",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcfranke@mthoodhospice.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email address",
            "address_1": "39085 Pioneer Blvd Ste 1018",
            "city": "Sandy",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970558081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elaine B Miller
• Elizabeth Alexandra Miller
• Nancy Penrod Monnie, DPT
• Marisa Mooney
• Alexandria Rose Moss, LMT
• Mt. Hood Dental Clinic
• Mt. Hood Eye Care Corporation
• Nancy P. Monnie, PC (Sandy Physical Therapy)
• Amanda Nash, RD, LD
• Aubrey Nelson

• Community Based Hospice Care Agency in Sandy, OR
• Providers in Sandy, OR by specialty
• Community Based Hospice Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.