Organization Active NPI

Generation Hospice LLC

  • Community Based Hospice Care Agency
  • Newark, OH
National Provider Identifier
1275735052
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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, LLCCCN 361645 · All quality measures
Ownership
For-Profit
Certified
Oct 24, 2008
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Generation Healthcare, Inc. Organization, Newark, OH For-profit 5% Or Greater Direct Ownership Interest Jun 20, 2007 100%
Karen Keller Individual Corporate OfficerPresident Jan 1, 2011 100%
Jeremy R Campbell Individual Contracted Managing EmployeeMedical Director Sep 30, 2013
April Sharp Individual W-2 Managing EmployeeAd; Jun 13, 2024 75%
Randall Keller Individual 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.

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

Sources for this page

Verify at the official NPI Registry.