The Hospice of Dayton, Inc.
Organization Active NPI Community Based Hospice Care Agency · Dayton, OH
NPI 1346220142 · NPPES record last updated Jun 18, 2024
Key facts
- NPI
- 1346220142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 0004-HSP (OH)
- Legal business name
- THE HOSPICE OF DAYTON, INC.
- Practice address
- 324 Wilmington Ave
Dayton, OH 45420-1890 - Phone
- (937) 256-4490
- Fax
- (937) 258-5516
- NPI assigned
- Jan 18, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- OHIOS HOSPICE, INC.
Authorized official
- Name
- Gail Stokes
- Title
- Executive Regional VP
- Phone
- (937) 815-2848
Facilities with the same owner 2
Practitioners 66
-
Karmen Paige Arnett, FNP
-
Brooke Ashley Boron, FNP
-
Cleanne Cass, DO
-
Aaron Patrick Hanshaw, D.O.
-
Hanna Hubbard, FNP-C
-
Julie Gay Karnes, M.D.
-
Adelle Lucrecia Kesler, FNP-C
-
Jennifer Kline, MD
-
Abraham Olagoke Kuranga, M.D.
-
Heather Marie Kyer, APRN-CNP, AGNP-C
-
Amy Leber, APRN
-
Hiep Luu, DO
-
Jennifer Mack, APRN-CNP
-
Naga Prasuna Madireddy, M.D.
-
Brittany McClain, FNP-C
-
Tamika Lenea McNeal, NP-C
-
Colleen M Pema, DO
-
Kristine M Schmiesing, D.O.
-
Sheryl Spires, NP
-
Patricia Ann Taylor, APRN
-
Rebecca A Thompson, APRN
Affiliated clinicians 53
-
Coca Anghelache, CNP
-
Saba Azher Ansari, M.D
-
Karmen Paige Arnett, FNP
-
Susan Elaine Berner, M.D.
-
Abdul Butman, MD
-
Mark A. Crager, MD
-
Andrew Diller, MD
-
Shelly L Dunmyer, M.D.
-
Aaron Patrick Hanshaw, D.O.
-
Rachel Lynn Hunter, D.O.
-
Robert L Hunter, DO
-
Adelle Lucrecia Kesler, FNP-C
-
Kevin P Macy, DO
-
Naga Prasuna Madireddy, M.D.
-
John E Mauer, MD
Medicare Care Compare: Hospice
- Listed as
- Hospice of Dayton
- Ownership
- Non-Profit
- Certified
- Mar 20, 1984
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0685640 | Hospice of Dayton Inc | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH
Hospice certification: CCN 361501
- Legal name
- THE HOSPICE OF DAYTON, INC.
- Doing business as
- HOSPICE OF DAYTON
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 20, 1984
- Last certification
- Apr 24, 2009
- Ownership / control type
- Non-Profit - Private
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 324 Wilmington Ave
Dayton, OH 45420-1890
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Kent Anderson |
Corporate Officer | May 17, 2011 | |
| Yvonne Turner |
Corporate Director |
Jun 30, 2023 | 100% |
| W-2 Managing Employee | Jun 30, 2023 | 100% | |
| Operational/Managerial Control | Jun 30, 2023 | ||
| The Hospice of Dayton, Inc. |
5% Or Greater Direct Ownership Interest | May 17, 2011 | |
| Ohio'S Hospice Inc. |
Operational/Managerial Control | Jul 12, 2013 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050914001447 | OH | Part B Supplier - Clinic/Group Practice | 7517990088 |
Receives reassigned benefits from 45 practitioners Practice locations: Dayton, OH |
| O20110830000311 | OH | Part a Provider - Hospice | 7517990088 | Practice locations: Cincinnati, OH; Dayton, OH; Franklin, OH; Springfield, OH |
National Provider Directory
Locations
11013 Montgomery Rd
Cincinnati, OH 45249
Phone (937) 256-9507
2200 Miami Valley Dr
Dayton, OH 45459
Phone (937) 668-7873
5940 Long Meadow Dr
Middletown, OH 45005
Phone (937) 256-4490
100 W McCreight Ave
Ste 400
Springfield, OH 45504
Phone (937) 390-9665
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 0004-HSP | OH | Yes |
Addresses
Primary practice location
324 Wilmington Ave
Dayton, OH 45420-1890
Mailing address
324 Wilmington Ave
Dayton, OH 45420-1890
Phone (937) 256-4490
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0820080 | Medicaid | OH |
Other names
- Hospice of Dayton, Inc.
Other providers in Dayton, OH
- The Freedom Recovery Center LLC
- The Friend Agency
- The Good People Association LLC
- The Heart of Jesus Christ Ministries
- The Highlander Group
- The Illiot Group
- The Jewish Federation of Greater Dayton
- The Karrington Company LLC
- The Kingdom Wellness Group
- The Maria-Joseph Center
All providers in Dayton, OH · Community Based Hospice Care Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.