Town Square Hospice Ohio LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

TOWN SQUARE HOSPICE OHIO LLC

Practice address

3995 Medina Rd Ste 210
Medina, OH 44256-5958

Phone

(330) 588-3803

Fax

(330) 590-9666

NPI assigned

Sep 13, 2023

Organization subpart

No

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

Authorized official

Name

Michael Wik

Title

Chairman of the Board

Phone

(312) 498-3541

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Hospice certification: CCN 361745

Legal name

TOWN SQUARE HOSPICE OHIO LLC

Doing business as

TOWN SQUARE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 10, 2025

Last certification

Feb 27, 2025

Organization structure

LLCProprietary

Enrollment address

3995 Medina Rd
Ste 210
Medina, OH 44256-5958

Listed as

Town Square Hospice Ohio LLCCCN 361745

Certified

Mar 10, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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

Affiliated clinicians 1

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

• Freeland Gerard Oliverio, D.O.

  • Family Medicine Physician
  • Doylestown, OH
  • NPI 1578562013

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1265219224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3995 MEDINA RD STE 210",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565958",
            "telephone_number": "330-588-3803",
            "fax_number": "330-590-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3995 MEDINA RD STE 210",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565958",
            "telephone_number": "330-588-3803",
            "fax_number": "330-590-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN SQUARE HOSPICE OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "WIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "312-498-3541"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody K Tomko
• Helen M Torok, MD
• Leonard Joseph Torok, M.D.
• Nadine E Tossinou
• Steven Toth, P.T.A.
• Township of Granger Trustees
• Kiersten Trader
• Stephanie Trainer
• Melanie Travers, APRN
• Triad Residential Solutions LLC

• Community Based Hospice Care Agency in Medina, OH
• Providers in Medina, OH by specialty
• Community Based Hospice Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.