Active NPI
Clarion Forest Vna, Inc
- Community Based Hospice Care Agency
- Clarion, PA
National Provider Identifier
1104898709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 157699
- 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
- Last updated
- Jan 4, 2012
- 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
- Mrs. Colette Vickers
- Title
- Cfo
- Phone
- (814) 297-8400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 157699 | PA | Primary |
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 names 1
- Clarion Forest VNA Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030822000030 | PA | Part A Provider - Hospice | 0244141687 | Practice locations: Clarion, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1104898709. Details of each certification follow.
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
- Incorporated
- May 27, 1986 in PA
- Enrollment address
- 271 Perkins Rd
Clarion, PA 16214-8535
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Hospice
Medicare Care Compare- Listed as
- Clarion Forest Vna Hospice
- Ownership
- Non-Profit
- Certified
- Mar 10, 1994
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Clarion Forest Vna Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Clarion, PA
- NPI 1790758928
Locations
271 Perkins Rd
Clarion, PA 16214
Phone (800) 262-2118
Ownership & related parties
All disclosed owners & managing parties 16
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 |
|---|---|---|---|
| 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 |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospitalist Physician
- Clarion, PA
- NPI 1760458244
W-2 Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 9
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": "1139270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325635200000",
"number": "1104898709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 PERKINS RD",
"city": "CLARION",
"state": "PA",
"postal_code": "162148535",
"telephone_number": "814-297-8400",
"fax_number": "814-297-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 PERKINS RD",
"city": "CLARION",
"state": "PA",
"postal_code": "162148535",
"telephone_number": "814-297-8400",
"fax_number": "814-297-8801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARION FOREST VNA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-07",
"last_updated": "2012-01-04",
"status": "A",
"authorized_official_last_name": "VICKERS",
"authorized_official_first_name": "COLETTE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "814-297-8400",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "PA",
"license": "157699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Clarion Forest VNA Hospice",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Clarion, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.