NPIMap

Organization Active NPI

Hospice of the Piedmont, Inc.

  • Community Based Hospice Care Agency
  • High Point, NC
National Provider Identifier
1225017759
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HOS1581 Issued in NC
Legal business name
HOSPICE OF THE PIEDMONT, INC.
Practice address
1801 Westchester Dr
High Point, NC 27262-7009
Phone
(336) 889-8446
Fax
(336) 889-3450
NPI assigned
Jan 12, 2006
Last updated
Jun 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Mr. Barry Leonard, CPA
Title
Chief Financial Officer
Phone
(336) 889-8446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HOS1581 NC Primary

Addresses

Primary practice location

1801 Westchester Dr
High Point, NC 27262-7009

Mailing address

1801 Westchester Dr
High Point, NC 27262-7009
Phone (336) 889-8446

Other practice location 1

416 Vision Dr
Asheboro, NC 27203-3855
Phone (336) 672-9300

Other practice location 2

446 Vision Dr
Asheboro, NC 27203-3855
Phone (336) 672-9300

Other practice location 3

1803 Westchester Dr
High Point, NC 27262-7009
Phone (336) 889-8446

Other identifiers 1

IdentifierTypeStateIssuer
3401511MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120308000337 NC Part A Provider - Hospice 5799879409 Practice locations: Asheboro, NC; High Point, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225017759. Details of each certification follow.

Hospice certification: CCN 341511

Legal name
HOSPICE OF THE PIEDMONT INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 20, 1987
Last certification
Jul 23, 2015
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Sep 25, 1980 in NC
Enrollment address
1801 Westchester Dr
High Point, NC 27262-7374

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of the Piedmont IncCCN 341511 · All quality measures
Ownership
Non-Profit
Certified
Jan 20, 1987
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Care Connection Home Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

416 Vision Dr
Asheboro, NC 27203
Phone (336) 672-9300

446 Vision Dr
Asheboro, NC 27203
Phone (336) 672-8300

7900 Triad Center Dr
Ste 116
Greensboro, NC 27409
Phone (336) 668-4558

1803 Westchester Dr
High Point, NC 27262
Phone (336) 889-8446

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
William Trenton Cockerham Individual 5% Or Greater Indirect Ownership InterestPresident & Ceo Jan 15, 2014
Corporate OfficerPresident & Ceo Jan 15, 2013 100%
W-2 Managing EmployeePresident & Ceo Jan 15, 2013 100%

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2019 Change of OwnershipThis provider was the buyer Hospice of Randolph County IncCCN 341527, NC, NPI 1528065968

Practitioners & affiliated clinicians

Practitioners 13

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 13

Affiliated clinicians 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1225017759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 WESTCHESTER DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627009",
            "telephone_number": "336-889-8446",
            "fax_number": "336-889-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 WESTCHESTER DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627009",
            "telephone_number": "336-889-8446",
            "fax_number": "336-889-3450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 Vision Dr",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272033855",
            "country_code": "US",
            "telephone_number": "336-672-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "446 Vision Dr",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272033855",
            "country_code": "US",
            "telephone_number": "336-672-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1803 Westchester Dr",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272627009",
            "country_code": "US",
            "telephone_number": "336-889-8446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOSPICE OF THE PIEDMONT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "336-889-8446",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": "HOS1581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401511",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.