NPIMap

Organization Active NPI

Cypress Hospice LLC

  • Community Based Hospice Care Agency
  • Berea, OH
National Provider Identifier
1326387242
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CYPRESS HOSPICE LLC
Practice address
2 Berea Commons Ste 1
Berea, OH 44017-2535
Phone
(440) 973-0250
Fax
(440) 973-0253
NPI assigned
Feb 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
John M Coury
Title
Member
Phone
(440) 973-0250

Specialties & licenses 1

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

Addresses

Primary practice location

2 Berea Commons Ste 1
Berea, OH 44017-2535

Mailing address

2 Berea Commons Ste 1
Berea, OH 44017-2535
Phone (440) 973-0250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140430002591 OH Part A Provider - Hospice 8325271182 Practice locations: Berea, OH

Hospice certification: CCN 361686

Legal name
CYPRESS HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 24, 2015
Last certification
Mar 24, 2015
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Enrollment address
2 Berea Commons
Suite #1
Berea, OH 44017-2535

Care Compare: Hospice

Medicare Care Compare
Listed as
Cypress Hospice LLCCCN 361686 · All quality measures
Ownership
For-Profit
Certified
Mar 24, 2015
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

34940 Ridge Rd
Ste 5
Willoughby, OH 44094
Phone (440) 497-5055

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Joseph R Coury Individual 5% Or Greater Direct Ownership Interest Feb 8, 2013 18%
Corporate OfficerPresident Jul 16, 2013 18%
Robert M Nedrich Individual 5% Or Greater Direct Ownership Interest Feb 8, 2013 11%
Phillip Coury Individual 5% Or Greater Direct Ownership Interest Feb 8, 2013 18%
Corporate OfficerVice President Jul 16, 2013 18%
John M Coury Individual 5% Or Greater Direct Ownership Interest Feb 8, 2013 18%
Corporate OfficerSecretary/Treasurer Jul 16, 2013 18%
Michael R Coury Individual 5% Or Greater Direct Ownership Interest Feb 8, 2013 18%
Enkelejda Plasa Individual Contracted Managing EmployeeMD; Jan 1, 2024
Jessica Salinas Individual Contracted Managing Employee Jan 1, 2024
W-2 Managing EmployeeAd; Jan 1, 2024
Brittany Kotecki Individual W-2 Managing EmployeeAsst. Administrator Nov 13, 2025
Ranjit Bhupendra Tamaskar Individual Contracted Managing EmployeeMD; Nov 13, 2025
Gina a Covelli Individual 5% Or Greater Direct Ownership Interest Jan 1, 2014 17%
W-2 Managing EmployeeCeo Jan 1, 2014 17%

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1326387242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BEREA COMMONS STE 1",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172535",
            "telephone_number": "440-973-0250",
            "fax_number": "440-973-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BEREA COMMONS STE 1",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172535",
            "telephone_number": "440-973-0250",
            "fax_number": "440-973-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "COURY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "440-973-0250"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, OH

Sources for this page

Verify at the official NPI Registry.