Organization Active NPI

Ohio Living Holdings

Doing business as Ohio Living Village Hospice

  • Community Based Hospice Care Agency
  • Cincinnati, OH
National Provider Identifier
1154947174
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
OHIO LIVING HOLDINGS
Doing business as
Ohio Living Village Hospice
Practice address
1701 Llanfair Ave Ste 101
Cincinnati, OH 45224-2972
Phone
(614) 888-7800
Fax
(513) 782-8306
NPI assigned
Jun 25, 2020
Last updated
Nov 21, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
OHIO LIVING HOLDINGSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

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

Specialties & licenses 1

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

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 1

  • Ohio Living Village Hospice Doing business as

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154947174. Details of each certification follow.

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
CorporationNon-profit
Incorporated
May 1, 2010 in OH
Enrollment address
1701 Llanfair Ave
Ste 101
Cincinnati, OH 45224-2972

Other NPIs with the same Medicare PAC ID 11

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Ohio Living Village HospiceCCN 361655 · All quality measures
Ownership
Other
Certified
May 5, 2011
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Senior Independence

Locations

11275 Springfield Pike
Ste 101
Cincinnati, OH 45246

83 N Miller Rd
Ste 101
Fairlawn, OH 44333

Ownership & related parties

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 DirectorBoard Member Jul 1, 2025
Laurence C Gumina Individual Corporate OfficerChief Executive Officer Dec 28, 2011 100%
Wendy Kiser Individual Corporate OfficerChief Operating Officer, Ex Officio Jul 1, 2024
Robert B Stillman Individual Corporate OfficerChief Financial Officer Apr 15, 2013
Karen Talbott Individual Corporate DirectorBoard 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 DirectorBoard Member Jul 1, 2024
James Frecka Individual Contracted Managing EmployeeMD; Jul 1, 2020
Benjamin P Hasselback Individual W-2 Managing EmployeeAdministrator; Executive Director Sep 1, 2020
Yousuf Ahmad Individual Corporate DirectorBoard Member Jul 1, 2024

Owners & managing parties with NPI records 1

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

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 AkronFairlawn, 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 ClevelandWilloughby, OH, CCN 367564 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 10, 2010
Ohio Living Home Health Greater ColumbusWesterville, 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 HoldingsFairlawn, OH, CCN 361695 Hospice Operational/Managerial Control (100%) Dec 28, 2011
Ohio Living Hospice Greater ToledoToledo, OH, CCN 361697 Hospice Operational/Managerial Control Jul 1, 2010
Ohio Living Hospice Greater ColumbusWesterville, OH, CCN 361632 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2016

Owned or controlled facilities with NPI records 6

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

Facilities with the same owner 3

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

Change-of-ownership history 1

DateEventCounterparty
Jul 1, 2020 Change of OwnershipThis provider was the buyer Village Home Health and HospiceCCN 361655, OH, NPI 1073844353

Change of ownership 1

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

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.

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "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

Sources for this page

Verify at the official NPI Registry.