NPIMap

Organization Active NPI

Gentle Shepherd Hospice Inc.

  • Community Based Hospice Care Agency
  • Roanoke, VA
National Provider Identifier
1346208337
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HSP-0618 Issued in VA
Legal business name
GENTLE SHEPHERD HOSPICE INC.
Practice address
6045 Peters Creek Rd
Roanoke, VA 24019-4029
Phone
(540) 989-6265
Fax
(540) 989-1547
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Donald Eckenroth III
Title
President
Phone
(540) 989-6265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HSP-0618 VA Primary

Addresses

Primary practice location

6045 Peters Creek Rd
Roanoke, VA 24019-4029

Mailing address

6045 Peters Creek Rd
Roanoke, VA 24019-4029
Phone (540) 989-6265

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041217000448 VA Part A Provider - Hospice 5496712721 1 other NPI on this enrollment
Practice locations: Roanoke, VA

Hospice certification: CCN 491527

Legal name
GENTLE SHEPHERD HOSPICE INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 17, 1995
Last certification
Jul 21, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Nov 21, 1994 in VA
Enrollment address
6045 Peters Creek Rd
Roanoke, VA 24019-4029

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Gentle Shepherd Hospice IncCCN 491527
Ownership
For-Profit
Certified
May 17, 1995
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

6045 Peters Creek Rd
Roanoke, VA 24019
Phone (540) 989-6265

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
John Bartow Olmsted Individual W-2 Managing EmployeeMD; Jul 15, 2021
Kim Eckenroth Individual 5% Or Greater Direct Ownership InterestBoard MBR/Dir. Prof. Medical Serv Nov 21, 1994 49%
Corporate OfficerBoard MBR/Dir. Prof. Medical Serv Nov 21, 1994
Corporate DirectorBoard MBR/Dir. Prof. Medical Serv Nov 21, 1994
W-2 Managing EmployeeBoard MBR/Dir. Prof. Medical Serv Nov 21, 1994
Carrie Rater Individual W-2 Managing EmployeeExec. Director for Patient Care Ser Oct 21, 2025
Donald Eckenroth Individual 5% Or Greater Direct Ownership InterestChairman of the Board Nov 21, 1994 51%
Corporate OfficerChairman of the Board Nov 21, 1994
Corporate DirectorChairman of the Board Nov 21, 1994
W-2 Managing EmployeeChairman of the Board Nov 21, 1994

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 4

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

Affiliated clinicians 12

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": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346208337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 PETERS CREEK RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194029",
            "telephone_number": "540-989-6265",
            "fax_number": "540-989-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 PETERS CREEK RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194029",
            "telephone_number": "540-989-6265",
            "fax_number": "540-989-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE SHEPHERD HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ECKENROTH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-989-6265",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "VA",
            "license": "HSP-0618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.