NPIMap

Organization Active NPI

Hospice for All Seasons

  • Community Based Hospice Care Agency
  • Grantville, PA
National Provider Identifier
1376853382
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE FOR ALL SEASONS
Practice address
280 S Hill Dr
Grantville, PA 17028-8523
Phone
(717) 234-2555
Fax
(717) 238-3190
NPI assigned
Oct 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Lisa Renee Deornellas, RN, CHPN
Title
Ceo
Phone
(717) 234-2555

Specialties & licenses 1

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

Addresses

Primary practice location

280 S Hill Dr
Grantville, PA 17028-8523

Mailing address

280 S Hill Dr
Grantville, PA 17028-8523
Phone (717) 234-2555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110210000775 PA Part A Provider - Hospice 7012197866 Practice locations: Grantville, PA

Hospice certification: CCN 391733

Legal name
HOSPICE FOR ALL SEASONS
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 2, 2011
Last certification
Oct 31, 2019
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Incorporated
Sep 15, 2010 in PA
Enrollment address
280 S Hill Dr
Grantville, PA 17028-8523

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice for All Seasons, LLCCCN 391733
Ownership
For-Profit
Certified
Mar 2, 2011
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2018617Hospice for All Seasons280 South Hill Drive, Grantville, PA 17028Certificate of waiverJan 10, 2027

National Provider Directory

National Provider Directory

Locations

2741 Paxton St
#200
Harrisburg, PA 17111
Phone (717) 234-2555

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
David E Toomey Individual Contracted Managing EmployeeMedical Director Jun 30, 2014
Joni Olson Individual W-2 Managing EmployeeW-2 Managing Employee Oct 15, 2010
Lisa R Deornellas Individual 5% Or Greater Direct Ownership InterestSole Owner Oct 15, 2010 100%

Owners & managing parties with NPI records 1

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 9

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": "1286841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1376853382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S HILL DR",
            "city": "GRANTVILLE",
            "state": "PA",
            "postal_code": "170288523",
            "telephone_number": "717-234-2555",
            "fax_number": "717-238-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S HILL DR",
            "city": "GRANTVILLE",
            "state": "PA",
            "postal_code": "170288523",
            "telephone_number": "717-234-2555",
            "fax_number": "717-238-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE FOR ALL SEASONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-12",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "DEORNELLAS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-234-2555",
        "authorized_official_credential": "RN, CHPN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grantville, PA

Sources for this page

Verify at the official NPI Registry.