NPIMap

Organization Active NPI

Good Samaritan Hospice of Pittsburgh

  • Community Based Hospice Care Agency
  • Valencia, PA
National Provider Identifier
1104816206
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
16291600 Issued in PA
Legal business name
GOOD SAMARITAN HOSPICE OF PITTSBURGH
Practice address
116 Browns Hill Rd Ste 100
Valencia, PA 16059-3142
Phone
(724) 933-8888
Fax
(724) 933-8844
NPI assigned
Oct 28, 2005
Last updated
Nov 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Ms. Kristin Laboda
Title
Executive Director
Phone
(724) 933-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 16291600 PA Primary

Addresses

Primary practice location

116 Browns Hill Rd Ste 100
Valencia, PA 16059-3142

Mailing address

116 Browns Hill Rd Ste 100
Valencia, PA 16059-3142
Phone (724) 933-8888

Other identifiers 1

IdentifierTypeStateIssuer
0017449480001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050328000596 PA Part A Provider - Hospice 0143276683 Practice locations: Valencia, PA; Wexford, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104816206. Details of each certification follow.

Hospice certification: CCN 391629

Legal name
GOOD SAMARITAN HOSPICE OF PITTSBURGH
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 25, 1999
Last certification
Feb 10, 2021
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Sep 11, 1998 in PA
Enrollment address
116 Browns Hill Rd
Ste 100
Valencia, PA 16059-3142

Care Compare: Hospice

Medicare Care Compare
Listed as
Good Samaritan Hospice of PittsburghCCN 391629 · All quality measures
Ownership
Non-Profit
Certified
Feb 25, 1999
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
39D0951832Good Samaritan Hospice of Pittsburgh116 Browns Hill Road, Suite 100, Valencia, PA 16059Certificate of waiverSep 28, 2026

National Provider Directory

National Provider Directory

Member of 2

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

Locations

1000 Dutch Ridge Rd
#4B
Beaver, PA 15009

116 Browns Hill Rd
Valencia, PA 16059
Phone (724) 933-8888

116 Browns Hill Rd
Ste 100
Valencia, PA 16059
Phone (724) 624-4558

146 Neely School Rd
Wexford, PA 15090
Phone (724) 940-9120

3500 Brooktree Rd
Ste 320
Wexford, PA 15090
Phone (724) 933-8888

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
David Dillon Individual Corporate DirectorBoard Member Jan 1, 2024
Kelly Carney Individual Corporate DirectorBoard Member Jan 1, 2026
Martin Trettel Individual Corporate DirectorBoard Member Jan 1, 2015
Tammy Young Individual Corporate OfficerBoard Secretary Jan 1, 2017
Corporate DirectorBoard Secretary Jun 1, 2015
Jenna Lee Enscoe Individual Corporate DirectorBoard Member Jun 1, 2025
Kristin Laboda Individual Operational/Managerial Control Oct 23, 2023
Keith E Frndak Individual Corporate OfficerPresident Dec 27, 2004
Dina Cecere Dosch Individual Contracted Managing EmployeeMedical Director Apr 1, 2024
Butler Healthcare Providers Organization, Butler, PA Non-profit 5% Or Greater Direct Ownership Interest Sep 1, 2015 12%
Concordia Care Network Organization, Cabot, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 1, 2022 66%
Heritage Valley Health System Organization, Beaver, PA Non-profit 5% Or Greater Direct Ownership Interest Sep 1, 2015 22%
Linda Homyk Individual Corporate DirectorBoard Member Aug 1, 2020
Norman F Mitry Individual Corporate DirectorBoard Member Jan 14, 2014
Misty Ingram Individual Corporate DirectorBoard Member Jan 1, 2020

Owners & managing parties with NPI records 3

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

Facilities with the same owner 17

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

View all 17

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.

Affiliated clinicians 4

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": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1104816206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BROWNS HILL RD STE 100",
            "city": "VALENCIA",
            "state": "PA",
            "postal_code": "160593142",
            "telephone_number": "724-933-8888",
            "fax_number": "724-933-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BROWNS HILL RD STE 100",
            "city": "VALENCIA",
            "state": "PA",
            "postal_code": "160593142",
            "telephone_number": "724-933-8888",
            "fax_number": "724-933-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPICE OF PITTSBURGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "LABODA",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "724-933-8888",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "16291600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017449480001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, PA

Sources for this page

Verify at the official NPI Registry.