Active NPI
Generation Hospice LLC
- Community Based Hospice Care Agency
- Newark, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- GENERATION HOSPICE LLC
- Practice address
- 26 N Westmoor Ave
Newark, OH 43055-1840 - Phone
- (740) 348-1330
- Fax
- (740) 344-3091
- NPI assigned
- Jun 4, 2007
- Last updated
- Apr 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen R Keller
- Title
- Owner
- Phone
- (740) 348-1389
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
26 N Westmoor Ave
Newark, OH 43055-1840
Mailing address
26 N Westmoor Ave
Newark, OH 43055-1840
Phone (740) 348-1330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090202000224 | OH | Part A Provider - Hospice | 9739243031 | Practice locations: Newark, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1275735052. Details of each certification follow.
Hospice certification: CCN 361645
- Legal name
- GENERATION HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 24, 2008
- Last certification
- Dec 19, 2019
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Apr 12, 2007 in OH
- Enrollment address
- 26 N Westmoor Ave
Newark, OH 43055-1840
Care Compare: Hospice
Medicare Care Compare- Listed as
- Generation Hospice, LLC
- Ownership
- For-Profit
- Certified
- Oct 24, 2008
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
65 McMillen Dr
Ste 504
Newark, OH 43055
Phone (740) 348-1399
Ownership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Generation Healthcare, Inc. | 5% Or Greater Direct Ownership Interest | Jun 20, 2007 | 100% |
| Karen Keller | Corporate Officer | Jan 1, 2011 | 100% |
| Jeremy R Campbell | Contracted Managing Employee | Sep 30, 2013 | |
| April Sharp | W-2 Managing Employee | Jun 13, 2024 | 75% |
| Randall Keller | Contracted Managing Employee | Jan 1, 2011 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Newark, OH
- NPI 1477533826
Contracted Managing Employee
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1180915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713916800000",
"number": "1275735052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 N WESTMOOR AVE",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551840",
"telephone_number": "740-348-1330",
"fax_number": "740-344-3091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 N WESTMOOR AVE",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551840",
"telephone_number": "740-348-1330",
"fax_number": "740-344-3091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENERATION HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-04",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A",
"authorized_official_last_name": "KELLER",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "740-348-1389"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, OH
- Theresa C Gehr, MSW, LISW
- Charles Lewis Geiger, D.O.
- Jennifer A Geiger, LISW-S
- Generation Health & Rehabilitation (Flint Ridge Nursing and Rehab)
- Generation Home Health LLC
- Generation Rehab Services, LLC
- Generation Senior Medical Services LLC
- Genoa Healthcare LLC
- Gentle Footcare LLC
- Rachel Ann Gerber, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.