Organization Active NPI

Palialife

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Ashland, OH
National Provider Identifier
1336735406
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
PALIALIFE
Practice address
44 Vernon Ave
Ashland, OH 44805-4039
Phone
(216) 230-4010
Fax
(704) 438-9263
NPI assigned
Dec 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Pierre El Hachem, MDNPI 1942632872
Title
Authorized Official
Phone
(162) 304-0102

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X Primary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X

Addresses

Primary practice location

44 Vernon Ave
Ashland, OH 44805-4039

Mailing address

44 Vernon Ave
Ashland, OH 44805-4039
Phone (216) 230-4010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210112000848 OH Part B Supplier - Clinic/Group Practice 3274946231 Receives reassigned benefits from 4 practitioners

National Provider Directory

National Provider Directory

Locations

3558 Ridgewood Rd
Fairlawn, OH 44333
Phone (330) 472-0296

574 Leisure Ln
Medina, OH 44256

6144 Wedgewood Rd
Medina, OH 44256
Phone (330) 723-9552

2400 Columbia Rd
Medina, OH 44256
Phone (330) 483-3131

47 Steeplechase Ln
Munroe Falls, OH 44262
Phone (234) 334-0705

540 Great Oaks Trl
Wadsworth, OH 44281
Phone (330) 336-1141

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1336735406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 VERNON AVE",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054039",
            "telephone_number": "216-230-4010",
            "fax_number": "704-438-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 VERNON AVE",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054039",
            "telephone_number": "216-230-4010",
            "fax_number": "704-438-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALIALIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "EL HACHEM",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "162-304-0102",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.