Clarion Forest Vna, Inc
Organization Active NPI Community Based Hospice Care Agency · Clarion, PA
NPI 1104898709 · NPPES record last updated Jan 4, 2012
Key facts
- NPI
- 1104898709
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 157699 (PA)
- Legal business name
- CLARION FOREST VNA, INC
- Practice address
- 271 Perkins Rd
Clarion, PA 16214-8535 - Phone
- (814) 297-8400
- Fax
- (814) 297-8801
- NPI assigned
- Feb 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Colette Vickers
- Title
- Cfo
- Phone
- (814) 297-8400
Owners & managing parties with NPI records 4
-
Catherine Ann Cunningham, D.O.
-
Paul D Hamm, D.O.
-
Robert C Luderer, D.O.
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Affiliated clinicians 9
-
Paul D Hamm, D.O.
-
Janice Marie Kenneson, D.O.
-
Randy M Kreider, MD
-
Joseph L Leonard, D.O.
-
Robert C Luderer, D.O.
-
Susen A Rossino, MD
-
Janice Semeyn, D.O.
-
Chad R Shaffer, MD
Medicare Care Compare: Hospice
- Listed as
- Clarion Forest Vna Hospice
- Ownership
- Non-Profit
- Certified
- Mar 10, 1994
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Hospice certification: CCN 391576
- Legal name
- CLARION FOREST VNA, INC
- Doing business as
- CLARION FOREST VNA, HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 10, 1994
- Last certification
- Apr 21, 2022
- Ownership / control type
- Non-Profit - Private
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 27, 1986 in PA
- Enrollment address
- 271 Perkins Rd
Clarion, PA 16214-8535
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Dennyse L Mehta |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Oct 2, 2024 | ||
| Ronald Peters |
Corporate Director |
Oct 2, 2024 | |
| Stephen W French |
Corporate Director |
Oct 1, 2014 | |
| John Wagner |
Corporate Officer |
Feb 6, 2019 | |
| Corporate Director |
Jan 25, 2011 | ||
| James Gary Arner |
Corporate Director |
Apr 6, 2022 | |
| Robert C Luderer |
W-2 Managing Employee |
Mar 14, 2024 | |
| Leslie Walters |
Corporate Director |
Aug 1, 2018 | |
| Janet M Troutman |
Corporate Director |
Oct 1, 2014 | |
| Paul D Hamm |
Corporate Director |
Jan 25, 2011 | |
| Justin Drayer |
Corporate Officer |
Nov 18, 2022 | |
| W-2 Managing Employee | Nov 18, 2022 | ||
| Catherine Cunningham |
W-2 Managing Employee |
Mar 14, 2024 | |
| Kevin J Roth |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
May 24, 2011 | ||
| Lisa Ann Steiner |
Corporate Officer |
May 29, 2020 | 0.5% |
| W-2 Managing Employee |
May 29, 2020 | ||
| Usda Rural Housing Service |
5% Or Greater Mortgage Interest | Mar 22, 2011 | 64.45% |
| Susan M Schmader |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Feb 6, 2019 | ||
| Janet L Lander |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Oct 7, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030822000030 | PA | Part a Provider - Hospice | 0244141687 | Practice locations: Clarion, PA |
National Provider Directory
- Tax ID family
- Clarion Forest Vna Inc
Locations
271 Perkins Rd
Clarion, PA 16214
Phone (814) 297-8400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 157699 | PA | Yes |
Addresses
Primary practice location
271 Perkins Rd
Clarion, PA 16214-8535
Mailing address
271 Perkins Rd
Clarion, PA 16214-8535
Phone (814) 297-8400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800330 | Other | PA | BLACK LUNG |
| 1004 | Other | PA | BLUE CROSS |
| 1000074990005 | Medicaid | PA | |
| 2402 | Other | PA | HEALTH AMER/HEALTH ASSURA |
Other names
- Clarion Forest VNA Hospice
Other providers in Clarion, PA
- Clarion County MH Mr Drug Alcohol
- Clarion Diagnostic Imaging, P.C.
- Clarion Dialysis Center, LLC
- Clarion Eye Care, Inc.
- Clarion Family Therapy, Inc.
- Clarion Forest Vna, Inc
- Clarion Hospital
- Clarion Hospital
- Clarion Hospital
- Clarion Hospital
All providers in Clarion, PA · Community Based Hospice Care Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.