Organization Active NPI

Incare Hospice, Northern Ohio

Doing business as NatlChurchResidences Home and Community Services Northern Ohio Hospice

  • Community Based Hospice Care Agency
  • Medina, OH
National Provider Identifier
1205069978
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
INCARE HOSPICE, NORTHERN OHIO
Doing business as
NatlChurchResidences Home and Community Services Northern Ohio Hospice
Practice address
600 E Smith Rd
Medina, OH 44256-2666
Phone
(330) 335-9999
Fax
(330) 335-2360
NPI assigned
Aug 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Ed Newton
Title
Ceo
Phone
(330) 335-9999

Specialties & licenses 1

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

Addresses

Primary practice location

600 E Smith Rd
Medina, OH 44256-2666

Mailing address

600 E Smith Rd
Medina, OH 44256-2666
Phone (330) 335-9999

Other identifiers 1

IdentifierTypeStateIssuer
0061788MedicaidOH

Other names 1

  • NatlChurchResidences Home and Community Services Northern Ohio Hospice Doing business as

Care Compare: Hospice

Medicare Care Compare
Listed as
Incare Hospice, Northern OhioCCN 361657
Ownership
For-Profit
Certified
Jan 27, 2012
Medicare certification status
Terminated Voluntary: risk of involuntary termination, Dec 10, 2025From the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

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
36D2046870Incare Hospice Northern Ohio Dba600 E Smith Rd, Medina, OH 44256Certificate of waiverSep 12, 2026

National Provider Directory

National Provider Directory

Locations

207 Portage Trail Ext W
Ste 100
Cuyahoga Falls, OH 44223
Phone (330) 487-1075

2321 2nd St
Ste 102
Cuyahoga Falls, OH 44221
Phone (330) 833-3135

NPI Registry JSON

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1205069978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E SMITH RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562666",
            "telephone_number": "330-335-9999",
            "fax_number": "330-335-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E SMITH RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562666",
            "telephone_number": "330-335-9999",
            "fax_number": "330-335-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCARE HOSPICE, NORTHERN OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-28",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-335-9999"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061788",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NatlChurchResidences Home and Community Services Northern Ohio Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.