NPIMap

Organization Active NPI

Champion Health Services, Inc

Doing business as Monarch Hospice

  • Community Based Hospice Care Agency
  • Lower Burrell, PA
National Provider Identifier
1285028456
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CHAMPION HEALTH SERVICES, INC
Doing business as
Monarch Hospice
Practice address
2837 Leechburg Rd
Lower Burrell, PA 15068-2539
Phone
(724) 331-3089
NPI assigned
Mar 25, 2015
Last updated
Jan 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Richard J. SiefertNPI 1851785125
Title
Vice President
Phone
(724) 331-3089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2837 Leechburg Rd
Lower Burrell, PA 15068-2539

Mailing address

2837 Leechburg Rd
Lower Burrell, PA 15068-2539

Other names 1

  • Monarch Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160122001749 PA Part A Provider - Hospice 3476856543 Practice locations: Lower Burrell, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285028456. Details of each certification follow.

Hospice certification: CCN 391777

Legal name
CHAMPION HEALTH SERVICES INC
Doing business as
MONARCH HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 1, 2016
Last certification
Nov 4, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 26, 2015 in PA
Enrollment address
2837 Leechburg Rd
Lower Burrell, PA 15068-2539

Care Compare: Hospice

Medicare Care Compare
Listed as
Monarch HospiceCCN 391777 · All quality measures
Ownership
For-Profit
Certified
Dec 1, 2016
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2254642Champion HLTH Services Dba Monarch Hospice2837 Leechburg Rd, Lower Burrell, PA 15068Certificate of waiverDec 9, 2027

National Provider Directory

National Provider Directory

Locations

2837 Leechburg Rd
New Kensington, PA 15068
Phone (724) 331-3089

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Lori Hank Individual 5% Or Greater Direct Ownership InterestAdministrator Mar 26, 2015 50%
Corporate OfficerVice President Mar 26, 2015
Corporate DirectorVice President Mar 26, 2015
W-2 Managing EmployeeVice President Mar 26, 2015
Operational/Managerial ControlAdministrator Mar 26, 2015
Richard J Siefert Individual 5% Or Greater Direct Ownership InterestBusiness Manager Mar 26, 2015 50%
Corporate OfficerVice President Mar 26, 2015
Corporate DirectorVice President Mar 26, 2015
W-2 Managing EmployeeBusiness Manager Mar 26, 2015
Operational/Managerial ControlBusiness Manager Mar 26, 2015

Practitioners & affiliated clinicians

Practitioners 1

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.

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": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1285028456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 LEECHBURG RD",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150682539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 LEECHBURG RD",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150682539",
            "telephone_number": "724-331-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "SIEFERT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "724-331-3089"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monarch Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lower Burrell, PA

Sources for this page

Verify at the official NPI Registry.