NPIMap

Organization Active NPI

Hospice of Cleveland County, Inc.

Doing business as Hospice Cleveland County

  • Community Based Hospice Care Agency
  • Shelby, NC
National Provider Identifier
1275536427
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HOS1413 Issued in NC
Legal business name
HOSPICE OF CLEVELAND COUNTY, INC.
Doing business as
Hospice Cleveland County
Practice address
951 Wendover Height Dr
Shelby, NC 28150-3565
Phone
(704) 487-4677
Fax
(704) 481-8050
NPI assigned
May 23, 2005
Last updated
Jan 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Mr. Peter Brunnick
Title
President/Ceo
Phone
(704) 355-3501

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HOS0371 NC
Community Based Hospice Care Agency 251G00000X HPC-065 SC
Community Based Hospice Care Agency 251G00000X HOS1413 NC Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X NU

Addresses

Primary practice location

951 Wendover Height Dr
Shelby, NC 28150-3565

Mailing address

951 Wendover Height Dr
Shelby, NC 28150-3565
Phone (704) 487-4677

Other identifiers 5

IdentifierTypeStateIssuer
HSP045MedicaidSC
0022WOtherBLUE CROSS BLUE SHIELD
3401520MedicaidNC
355808OtherCIGNA
2497670OtherAETNA

Other names 1

  • Hospice Cleveland County Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041129000244 NC Part B Supplier - Clinic/Group Practice 2668437914 Receives reassigned benefits from 13 practitioners
Practice locations: Shelby, NC
O20100526000244 NC Part A Provider - Hospice 2668437914 Practice locations: Kings Mountain, NC; Shelby, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275536427. Details of each certification follow.

Hospice certification: CCN 341520

Legal name
HOSPICE OF CLEVELAND COUNTY, INC.
Doing business as
VIA HEALTH PARTNERS - CLEVELAND COUNTY
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 10, 1987
Last certification
Apr 13, 2016
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Oct 2, 1984 in NC
Enrollment address
953 Wendover Heights Dr
Shelby, NC 28150-3565

Care Compare: Hospice

Medicare Care Compare
Listed as
Via Health Partners - ClevelandCCN 341520 · All quality measures
Ownership
Non-Profit
Certified
Nov 10, 1987
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

321 Kings Mountain Blvd
Kings Mountain, NC 28086
Phone (704) 751-3918

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Peter a Brunnick Individual Corporate OfficerPresident/Ceo Apr 1, 2024
Julie Ann Vibbert Individual W-2 Managing EmployeeDirector of Revenue Cycle Managemen Apr 1, 2024
Bridget Ilka Hiller Individual W-2 Managing EmployeeMD; Apr 1, 2024

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 14

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 14

Affiliated clinicians 11

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

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1275536427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 WENDOVER HEIGHT DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503565",
            "telephone_number": "704-487-4677",
            "fax_number": "704-481-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 WENDOVER HEIGHT DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503565",
            "telephone_number": "704-487-4677",
            "fax_number": "704-481-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF CLEVELAND COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "BRUNNICK",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "704-355-3501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": "HOS0371",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SC",
            "license": "HPC-065",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": "HOS1413",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP045",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0022W",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401520",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "355808",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2497670",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice Cleveland County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.