Visiting Nurse Association of Cleveland Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

0035HSP Issued in OH

Legal business name

VISITING NURSE ASSOCIATION OF CLEVELAND HOSPICE

Practice address

925 Keynote Cir Ste 300
Brooklyn Heights, OH 44131-1869

Phone

(216) 931-1391

Fax

(216) 694-4162

NPI assigned

Jan 31, 2008

Last updated

Sep 26, 2024By 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

Ms. Renee Ann Coughlin, PT, DPT

Title

Chief Operating Officer

Phone

(216) 931-1391

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• VNA of Cleveland Hospice Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114105202. Details of each certification follow.

• CCN 361547 Hospice · Active · Details

Hospice certification: CCN 361547

Legal name

VISITING NURSE ASSOCIATION OF CLEVELAND HOSPICE

Doing business as

VNA OF OHIO HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 6, 1990

Last certification

Jan 18, 2019

Ownership / control type

Non-Profit - Private

Organization structure

CorporationNon-profit

Incorporated

Dec 4, 1989 in OH

Enrollment address

925 Keynote Cir
Ste 300
Brooklyn Heights, OH 44131-1869

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Vna of Cleveland Hospice

  dba VNA Hospice

  • Hospice Registered Nurse
  • Cleveland, OH
  • NPI 1023095528

  O20090113000573

  Same enrollment

Listed as

Visting Nurse Association of Cleveland HospiceCCN 361547 · All quality measures

Ownership

Non-Profit

Certified

Jul 6, 1990

Medicare certification status

ActiveFrom the Provider of Services file

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.

• Louis J Demicco, DO

  • Emergency Medicine Physician
  • Parma, OH
  • NPI 1568502466

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1114105202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 KEYNOTE CIR STE 300",
            "city": "BROOKLYN HEIGHTS",
            "state": "OH",
            "postal_code": "441311869",
            "telephone_number": "216-931-1391",
            "fax_number": "216-694-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 KEYNOTE CIR STE 300",
            "city": "BROOKLYN HEIGHTS",
            "state": "OH",
            "postal_code": "441311869",
            "telephone_number": "216-931-1391",
            "fax_number": "216-694-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ASSOCIATION OF CLEVELAND HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "COUGHLIN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "216-931-1391",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OH",
            "license": "0035HSP",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0830140",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LICENSE #",
            "identifier": "0035HSP",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VNA of Cleveland Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Danielle D Stock, LPN
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• Visiting Nurse Association of Cleveland (VNA Home Health)
• Visiting Nurse Association of Cleveland (Vna of Ohio Home Health)
• Cindi Walker
• Jeffrey A. Wallace I, R.PH.
• Telika Even Winters

• Community Based Hospice Care Agency in Brooklyn Heights, OH
• Providers in Brooklyn Heights, 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 26, 2024; 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.