NPIMap

Organization Active NPI

Caldwell Hospice and Palliative Care, Inc.

Doing business as Amorem

  • Community Based Hospice Care Agency
  • Lenoir, NC
National Provider Identifier
1184711301
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0140032999 Issued in NC
Legal business name
CALDWELL HOSPICE AND PALLIATIVE CARE, INC.
Doing business as
Amorem
Practice address
902 Kirkwood Ave NW
Lenoir, NC 28645-5121
Phone
(828) 754-0101
NPI assigned
Oct 9, 2006
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Ms. Edith S Riddlespurger
Title
Interim Ceo
Phone
(828) 754-0101

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0140032999 NC Primary
Family Medicine Physician 207Q00000X NU
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X NU

Addresses

Primary practice location

902 Kirkwood Ave NW
Lenoir, NC 28645-5121

Mailing address

902 Kirkwood Ave NW
Lenoir, NC 28645-5121
Phone (828) 754-0101

Other practice location 1

526 Pine Mountain Rd
Hudson, NC 28638-8793
Phone (828) 754-0101

Other practice location 2

1715 Enon Rd
Valdese, NC 28690-9314
Phone (828) 879-1601

Other practice location 3

1721 Enon Rd
Valdese, NC 28690-9314
Phone (828) 879-1601

Other identifiers 2

IdentifierTypeStateIssuer
023MHOtherNCBCBS
3401504MedicaidNC

Other names 1

  • Amorem Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050622000528 NC Part A Provider - Hospice 4183669047 Practice locations: Hudson, NC; Lenoir, NC; Valdese, NC
O20060201000175 NC Part B Supplier - Clinic/Group Practice 4183669047 Receives reassigned benefits from 13 practitioners
Practice locations: Lenoir, NC; Valdese, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184711301. Details of each certification follow.

Hospice certification: CCN 341504

Legal name
CALDWELL HOSPICE AND PALLIATIVE CARE INC
Doing business as
AMOREM
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 24, 1985
Last certification
May 19, 2006
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Jun 18, 1982 in NC
Enrollment address
902 Kirkwood Ave NW
Lenoir, NC 28645-5121

Care Compare: Hospice

Medicare Care Compare
Listed as
AmoremCCN 341504 · All quality measures
Ownership
Non-Profit
Certified
Sep 24, 1985
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

526 Pine Mountain Rd
Hudson, NC 28638
Phone (828) 754-0101

902 Kirkwood Ave NW
Lenoir, NC 28645
Phone (828) 754-0101

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
April Moore Individual Corporate Officer Jul 15, 2024
Corporate Director Jul 15, 2024
W-2 Managing EmployeeAd; Aug 1, 2008
Jordan Greene Individual Corporate Director May 18, 2021
Rich Deaugustinis Individual Corporate Director May 18, 2021
Margaret Broyhill Individual Corporate Director Jun 22, 2005
Mack Jarvis Individual Corporate Director May 1, 2015
Airnoi Xaysanavongphet Hensley Individual Corporate Director Jan 30, 2023
David Gray Individual Corporate Director Jun 22, 2005
Julia K Sherrill Individual W-2 Managing EmployeeMD; Dec 9, 2019
Rhonda Lee Individual Corporate Director May 18, 2021
Kathy Tunstill Individual W-2 Managing EmployeeVP of Nursing Services Jan 2, 2020
Ron Hinman Individual Corporate Director Jun 28, 2006
Tamra Vanderbloemen Individual Corporate Director May 18, 2021
Gregory L Jones Individual Corporate Director May 18, 2021
Carol J Smith Individual W-2 Managing EmployeeVP of High Country Services Jul 1, 2021
Janet Hollar Winkler Individual Corporate Director Jul 1, 2010
Wongalee Thomas Individual Corporate Director May 1, 2015
Kyle D Burnette Individual Corporate Director May 18, 2021
David S Lackey Individual Corporate Director May 1, 2014
Marcus Carpenter Individual Corporate Director Jun 22, 2005
Jared a Huffman Individual Corporate Director May 18, 2021
Terry Johnson Individual W-2 Managing EmployeeVP of Finances Feb 7, 2018
Anna Blanton Individual W-2 Managing EmployeeVP of Support Services Jun 1, 2018
Kerri McFalls Individual W-2 Managing EmployeeVP of Community Engagement Jul 1, 2021
Barbara Self Individual W-2 Managing EmployeeVP of Quality and Compliance Jul 1, 2021

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

Affiliated clinicians 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1184711301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 KIRKWOOD AVE NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455121",
            "telephone_number": "828-754-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 KIRKWOOD AVE NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455121",
            "telephone_number": "828-754-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "526 Pine Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "NC",
            "postal_code": "286388793",
            "country_code": "US",
            "telephone_number": "828-754-0101",
            "fax_number": "828-757-0402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1715 Enon Rd",
            "address_purpose": "LOCATION",
            "city": "Valdese",
            "state": "NC",
            "postal_code": "286909314",
            "country_code": "US",
            "telephone_number": "828-879-1601",
            "fax_number": "828-874-1403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1721 Enon Rd",
            "address_purpose": "LOCATION",
            "city": "Valdese",
            "state": "NC",
            "postal_code": "286909314",
            "country_code": "US",
            "telephone_number": "828-879-1601",
            "fax_number": "828-874-1403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALDWELL HOSPICE AND PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "RIDDLESPURGER",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "828-754-0101",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": "0140032999",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "023MH",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401504",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amorem",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.