NPIMap

Organization Active NPI

St Augustine Manor

  • Community Based Hospice Care Agency
  • Parma, OH
National Provider Identifier
1376667014
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ST AUGUSTINE MANOR
Practice address
6707 State Rd
Parma, OH 44134-4517
Phone
(440) 885-3100
Fax
(440) 885-0644
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Mr. Rick Meserini
Title
President & Ceo
Phone
(216) 634-7403

Specialties & licenses 1

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

Addresses

Primary practice location

6707 State Rd
Parma, OH 44134-4517

Mailing address

6707 State Rd
Parma, OH 44134-4517
Phone (440) 888-7722

Other identifiers 1

IdentifierTypeStateIssuer
2691976MedicaidOH

Other names 1

  • St Augustine Manor doing business as Holy Family Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120426000179 OH Part A Provider - Hospice 6709808116 Practice locations: Parma, OH

Hospice certification: CCN 361631

Legal name
ST AUGUSTINE MANOR
Doing business as
HOLY FAMILY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 17, 2006
Last certification
Mar 10, 2022
Ownership / control type
Non-Profit - Church
Organization structure
CorporationNon-profit
Incorporated
Oct 24, 1969 in OH
Enrollment address
6707 State Road
Parma, OH 44134-4595

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Holy Family HospiceCCN 361631
Ownership
Non-Profit
Certified
Aug 17, 2006
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
St Augustine Transportation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6707 State Rd
Parma, OH 44134
Phone (440) 885-3100

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Kristin Graham Individual Corporate Director Dec 29, 2011
W-2 Managing Employee Dec 29, 2011
Robert Pumphrey Individual Corporate Director Sep 20, 2012
Patricia Snowbrick Individual Corporate Director Jul 1, 2005
Mark Seryak Individual Corporate Director Sep 18, 2014
Marilyn Streeter Individual Corporate Director Jul 1, 2010
Tania Harrison Individual Corporate Director Sep 20, 2012
Charles Slone Individual Corporate Director Jul 1, 2005
Damon Taseff Individual Corporate Director Sep 10, 2013
Joseph Dailey Individual Corporate Director May 17, 2007
Janet Gosche Individual Corporate Director Jan 16, 2014
Rick Meserini Individual Corporate Director Oct 13, 2014
Karen McCarthy Individual Corporate Director Jul 1, 2007
St Augustine Manor Organization, Cleveland, OH Non-profit 5% Or Greater Direct Ownership Interest Oct 13, 2005 100%
Theresa Dawson Individual Corporate Director Jul 1, 2008
Linda Sheehan Individual Corporate Director Jul 1, 2008
Frank Huba Individual Corporate Director Jul 1, 2005
Edward Hack Individual Corporate Officer Jul 1, 2005
Corporate Director Jul 1, 2005

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 10

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1376667014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 STATE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441344517",
            "telephone_number": "440-888-7722",
            "fax_number": "440-866-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 STATE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441344517",
            "telephone_number": "440-885-3100",
            "fax_number": "440-885-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST AUGUSTINE MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "MESERINI",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "216-634-7403",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2691976",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Augustine Manor doing business as Holy Family Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.