Organization Active NPI

Family Pillars Hospice Inc

  • Community Based Hospice Care Agency
  • Bethlehem, PA
National Provider Identifier
1154788461
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
FAMILY PILLARS HOSPICE INC
Practice address
3910 Adler PL Ste 130
Bethlehem, PA 18017-9299
Phone
(610) 625-2025
Fax
(610) 625-2068
NPI assigned
Jan 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Denis Tighe, ED
Title
President
Phone
(201) 218-1447

Specialties & licenses 1

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

Addresses

Primary practice location

3910 Adler PL Ste 130
Bethlehem, PA 18017-9299

Mailing address

3910 Adler PL Ste 130
Bethlehem, PA 18017-9299
Phone (610) 625-2025

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160428002001 PA Part A Provider - Hospice 9830498625 Practice locations: Bethlehem, PA

Hospice certification: CCN 391757

Legal name
FAMILY PILLARS HOSPICE INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 17, 2016
Last certification
May 27, 2022
Ownership / control type
Proprietary - Individual
Organization structure
CorporationProprietary
Incorporated
Jan 19, 2016 in PA
Enrollment address
3910 Adler PL
Ste 130
Bethlehem, PA 18017-9299

Care Compare: Hospice

Medicare Care Compare
Listed as
Family Pillars Hospice IncCCN 391757
Ownership
For-Profit
Certified
Aug 17, 2016
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3910 Adler Pl
Ste 120
Bethlehem, PA 18017

3910 Adler Pl
Ste 130
Bethlehem, PA 18017
Phone (610) 625-2025

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
James Kusko Individual Corporate Officer Mar 17, 2024
Corporate Director Mar 17, 2024
Salina Ngugi Individual 5% Or Greater Direct Ownership Interest Mar 30, 2016 100%
Corporate OfficerCeo Feb 1, 2016
Denis Tighe Individual Corporate Officer Jan 19, 2017
Corporate DirectorExecutive Director Jan 19, 2017 100%
W-2 Managing EmployeeAd; Jan 19, 2017 100%
Operational/Managerial ControlAdministrator Jan 19, 2017
Ralph Feldmann Individual Corporate Officer Mar 17, 2024
Corporate Director Mar 17, 2024
Chandrakant C Shah Individual Corporate Officer Mar 17, 2024
Corporate Director Mar 17, 2024
Operational/Managerial ControlMedical Director Mar 17, 2024

Owners & managing parties with NPI records 1

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

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": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1154788461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 ADLER PL STE 130",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179299",
            "telephone_number": "610-625-2025",
            "fax_number": "610-625-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 ADLER PL STE 130",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179299",
            "telephone_number": "610-625-2025",
            "fax_number": "610-625-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PILLARS HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "TIGHE",
        "authorized_official_first_name": "DENIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-218-1447",
        "authorized_official_credential": "ED"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.