Organization Active NPI

Leader Family Hospice, LLC

Doing business as Lifesong Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Harrisburg, PA
National Provider Identifier
1164907143
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LEADER FAMILY HOSPICE, LLC
Doing business as
Lifesong Hospice and Palliative Care
Practice address
3880 Tecport Dr Ste 2
Harrisburg, PA 17111-1225
Phone
(717) 585-6687
NPI assigned
Sep 26, 2018
Last updated
Feb 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Authorized official

Name
Mr. G. Michael Leader
Title
President & Ceo, Gmlfc, Gen. Part.
Phone
(717) 533-2474

Specialties & licenses 1

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

Addresses

Primary practice location

3880 Tecport Dr Ste 2
Harrisburg, PA 17111-1225

Mailing address

830 Cherry Drive
Hershey, PA 17033-2007
Phone (717) 533-2474

Other practice location 1

830 Cherry Drive
Hershey, PA 17033-2007
Phone (717) 533-2474 ext. 10233

Other names 1

  • Lifesong Hospice and Palliative Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190701001159 PA Part A Provider - Hospice 1759615461 1 other NPI on this enrollment
Practice locations: Allentown, PA; Harrisburg, PA
O20260409000009 PA Part B Supplier - Clinic/Group Practice 1759615461 Receives reassigned benefits from 2 practitioners
Practice locations: Harrisburg, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164907143. Details of each certification follow.

Hospice certification: CCN 391788

Legal name
LEADER FAMILY HOSPICE LLC
Doing business as
LIFESONG HOSPICE AND PALLIATIVE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 3, 2019
Last certification
May 27, 2022
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Incorporated
May 4, 2018 in PA
Enrollment address
3880 Tecport Dr
Ste 2
Harrisburg, PA 17111-1225

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Lifesong Hospice and Palliative CareCCN 391788 · All quality measures
Ownership
For-Profit
Certified
Sep 3, 2019
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2270315Lifesong Hospice and Palliative Care3880 Tecport Drive, Suite 2, Harrisburg, PA 17111Certificate of waiverOct 12, 2026

National Provider Directory

National Provider Directory
Tax ID family
Leader Family Hospice LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3880 Tecport Dr
Ste 2
Harrisburg, PA 17111
Phone (717) 585-6687

830 Cherry Dr
Hershey, PA 17033
Phone 7175332474 ext. 10233

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Lisa Torchia Individual Operational/Managerial ControlManaging Board Member Jan 1, 2024
G Michael Leader Individual 5% Or Greater Indirect Ownership Interest May 4, 2019 46.89%
Corporate OfficerBoard Member- Chairman May 22, 2018
Daniel Mills Individual Operational/Managerial ControlManaging Board Member Jan 1, 2024
Theodore R Janeczek Individual Corporate OfficerCfo May 4, 2018
W-2 Managing EmployeeExecutive Director May 22, 2018
Jane Janeczek Individual 5% Or Greater Indirect Ownership Interest May 4, 2018 24.69%
David Leader Individual 5% Or Greater Indirect Ownership Interest May 4, 2018 24.74%
Corporate OfficerBoard Member May 22, 2018
Leader Holdings, LP Organization, Hershey, PA 5% Or Greater Direct Ownership Interest May 22, 2018 100%
Meredith Mills Individual Operational/Managerial ControlManaging Board Member Jan 1, 2024
Angus M Patterson Individual W-2 Managing EmployeeExecutive Director Sep 4, 2019
Stephen S Young Individual Corporate OfficerCfo Apr 8, 2026 5%
John Hopkins Individual Contracted Managing EmployeePhysician Jan 1, 2024
Louisa Guerrisi Individual Contracted Managing EmployeeVP Finance Jan 1, 2022
Charles Maines Individual Operational/Managerial ControlManaging Board Member Jan 1, 2024
Joan Kay Harrold Individual W-2 Managing EmployeeMD; Nov 1, 2024 100%

Owners & managing parties with NPI records 2

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1164907143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 CHERRY DRIVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332007",
            "telephone_number": "717-533-2474",
            "fax_number": "717-533-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 TECPORT DR STE 2",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171111225",
            "telephone_number": "717-585-6687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Cherry Drive",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332007",
            "country_code": "US",
            "telephone_number": "717-533-2474 x10233",
            "fax_number": "717-533-1014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEADER FAMILY HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "LEADER",
        "authorized_official_first_name": "G.",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT & CEO, GMLFC, GEN. PART.",
        "authorized_official_telephone_number": "717-533-2474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifesong Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lifesong Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.