NPIMap

Ohio Living Holdings

Organization Active NPI Community Based Hospice Care Agency · Cincinnati, OH

NPI 1154947174 · NPPES record last updated Nov 21, 2024

Key facts

NPI
1154947174
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
Legal business name
OHIO LIVING HOLDINGS
Practice address
1701 Llanfair Ave Ste 101
Cincinnati, OH 45224-2972
Phone
(614) 888-7800
Fax
(513) 782-8306
NPI assigned
Jun 25, 2020
Organization subpart
Yes
Parent organization (as reported)
OHIO LIVING HOLDINGS

Authorized official

Name
Laurence C Gumina
Title
Chief Executive Officer
Phone
(614) 888-7800

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Owners & managing parties with NPI records 1

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

  • James Frecka, MD Internal Medicine Physician · Cincinnati, OH · NPI 1497719199
    CMS ownership CONTRACTED MANAGING EMPLOYEE

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Facilities with the same owner 3

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

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Hospice

Listed as
Ohio Living Village Hospice CCN 361655
Ownership
Other
Certified
May 5, 2011
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

Hospice certification: CCN 361655

Legal name
OHIO LIVING HOLDINGS
Doing business as
OHIO LIVING VILLAGE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 5, 2011
Last certification
May 5, 2011
Ownership / control type
Other
Organization structure
Corporation · Non-profit
Incorporated
May 1, 2010 in OH
Enrollment address
1701 Llanfair Ave
Ste 101
Cincinnati, OH 45224-2972

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Alyncia M Bowen
Individual 		Corporate Director
Board Member		 Jul 1, 2025
Laurence C Gumina
Individual 		Corporate Officer
Chief Executive Officer		 Dec 28, 2011 100%
Wendy Kiser
Individual 		Corporate Officer
Chief Operating Officer, Ex Officio		 Jul 1, 2024
Robert B Stillman
Individual 		Corporate Officer
Chief Financial Officer		 Apr 15, 2013
Karen Talbott
Individual 		Corporate Director
Board Member		 Jul 1, 2024
Ohio Living
Organization · Westerville, OH
Non-profit 		5% Or Greater Direct Ownership Interest May 19, 2010 100%
Operational/Managerial Control Nov 1, 2016 100%
Adam J Hensel
Individual 		Corporate Director
Board Member		 Jul 1, 2024
James Frecka
Individual 		Contracted Managing Employee
MD;		 Jul 1, 2020
Benjamin P Hasselback
Individual 		W-2 Managing Employee
Administrator; Executive Director		 Sep 1, 2020
Yousuf Ahmad
Individual 		Corporate Director
Board Member		 Jul 1, 2024

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ohio Living Home Health Greater Akron
Fairlawn, OH · CCN 367547		 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 1, 2016
Nov 1, 2016
Ohio Living Home Health Greater Cleveland
Willoughby, OH · CCN 367564		 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 10, 2010
Ohio Living Home Health Greater Columbus
Westerville, OH · CCN 367553		 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 1, 2016
Nov 1, 2016
Ohio Living Holdings
Fairlawn, OH · CCN 361695		 Hospice Operational/Managerial Control (100%) Dec 28, 2011
Ohio Living Hospice Greater Toledo
Toledo, OH · CCN 361697		 Hospice Operational/Managerial Control Jul 1, 2010
Ohio Living Hospice Greater Columbus
Westerville, OH · CCN 361632		 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2016

Change-of-ownership history

DateEventCounterparty
Jul 1, 2020 Change of Ownership
This provider was the buyer		 Village Home Health and Hospice
CCN 361655 · OH · NPI 1073844353

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200909000858 OH Part a Provider - Hospice 8729111471 Practice locations: Cincinnati, OH

National Provider Directory

Part of
Ohio Living Holdings

Locations

11275 Springfield Pike
Ste 101
Cincinnati, OH 45246

Specialties & licenses

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

Addresses

Primary practice location

1701 Llanfair Ave Ste 101
Cincinnati, OH 45224-2972

Mailing address

9200 Worthington Rd Ste 300
Westerville, OH 43082-7240
Phone (614) 888-7800

Other names

  • Ohio Living Village Hospice Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 21, 2024.

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1154947174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 WORTHINGTON RD STE 300",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827240",
            "telephone_number": "614-888-7800",
            "fax_number": "614-888-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 LLANFAIR AVE STE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452242972",
            "telephone_number": "614-888-7800",
            "fax_number": "513-782-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO LIVING HOLDINGS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO LIVING HOLDINGS",
        "enumeration_date": "2020-06-25",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "GUMINA",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "614-888-7800"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohio Living Village Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ohio Living Village Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

All providers in Cincinnati, OH · Community Based Hospice Care Agency in Ohio

Sources for this page

Verify at the official NPI Registry.