NPIMap

Organization Active NPI

Ohio Living Holdings

Doing business as Ohio Living Hospice - Greater Youngstown

  • Community Based Hospice Care Agency
  • Canfield, OH
National Provider Identifier
1386032373
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
OHIO LIVING HOLDINGS
Doing business as
Ohio Living Hospice - Greater Youngstown
Practice address
6715 Tippecanoe Rd
BLDG E, Suite 201
Canfield, OH 44406-7107
Phone
(330) 533-4350
Fax
(330) 533-4650
NPI assigned
Dec 30, 2014
Last updated
Nov 28, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
OHIO LIVING HOLDINGSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Robert Stillman
Title
Chief Financial Officer
Phone
(614) 888-7800

Specialties & licenses 1

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

Addresses

Primary practice location

6715 Tippecanoe Rd
BLDG E, Suite 201
Canfield, OH 44406-7107

Mailing address

9200 Worthington Rd Ste 300
Westerville, OH 43082-7240
Phone (614) 888-7800

Other names 1

  • Ohio Living Hospice - Greater Youngstown Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150423002671 OH Part A Provider - Hospice 8729111471 Practice locations: Canfield, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386032373. Details of each certification follow.

Hospice certification: CCN 361696

Legal name
OHIO LIVING HOLDINGS
Doing business as
OHIO LIVING HOSPICE - GREATER YOUNGSTOWN
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 25, 2016
Last certification
Oct 25, 2016
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
May 19, 2010 in OH
Enrollment address
6715 Tippecanoe Road
Building E Suite 201
Canfield, OH 44406

Other NPIs with the same Medicare PAC ID 11

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Ohio Living Hospice - Greater YoungstownCCN 361696 · All quality measures
Ownership
Non-Profit
Certified
Oct 25, 2016
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Ohio Living Holdings

Locations

6715 Tippecanoe Rd
Ste E201
Canfield, OH 44406

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Barbara Roshon Individual Corporate DirectorBoard Member Jul 1, 2020
Laurence C Gumina Individual Corporate DirectorBoard Member Feb 12, 2015
Operational/Managerial ControlPresident/Ceo Dec 28, 2011 100%
Raafat Zaki Individual Corporate DirectorDirector Jul 1, 2018
Paul M Flannery Individual Corporate DirectorMember, Board of Directors Jul 1, 2018
Robert F Naples Individual Contracted Managing EmployeeMedical Director Sep 26, 2014
Robert B Stillman Individual Corporate OfficerChief Financial Officer Apr 15, 2013
Kevin L Futryk Individual Corporate DirectorMember, Board of Directors Jul 1, 2018
Sarah Hadley Individual W-2 Managing EmployeeExecutive Director and Administrato May 19, 2010

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ohio Living Home Health Greater AkronFairlawn, OH, CCN 367547 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 1, 2016
Nov 1, 2016
Ohio Living Home Health Greater ClevelandWilloughby, OH, CCN 367564 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 10, 2010
Ohio Living Home Health Greater ColumbusWesterville, OH, CCN 367553 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 1, 2016
Nov 1, 2016
Ohio Living HoldingsFairlawn, OH, CCN 361695 Hospice Operational/Managerial Control (100%) Dec 28, 2011
Ohio Living Hospice Greater ToledoToledo, OH, CCN 361697 Hospice Operational/Managerial Control Jul 1, 2010
Ohio Living Hospice Greater ColumbusWesterville, OH, CCN 361632 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2016

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Ohio Living Holdings

    dba Ohio Living Home Health Greater Columbus

    • Home Health Agency
    • Westerville, OH
    • NPI 1386651313

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Ohio Living Holdings

    dba Ohio Living Hospice Greater Akron

    • Community Based Hospice Care Agency
    • Fairlawn, OH
    • NPI 1407244387

    Operational/Managerial Control

    CMS ownership
  • Ohio Living Holdings

    dba Ohio Living Home Health Greater Akron

    • Home Health Agency
    • Fairlawn, OH
    • NPI 1467476655

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Ohio Living Holdings

    dba Ohio Living Home Health Greater Cleveland

    • Home Health Agency
    • Willoughby, OH
    • NPI 1821002940

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Ohio Living Holdings

    dba Ohio Living Hospice - Greater Columbus

    • Community Based Hospice Care Agency
    • Westerville, OH
    • NPI 1881634939

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Ohio Living Holdings

    dba Ohio Living Hospice Greater Toledo

    • Community Based Hospice Care Agency
    • Toledo, OH
    • NPI 1962890848

    Operational/Managerial Control

    CMS ownership

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1386032373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 WORTHINGTON RD STE 300",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827240",
            "telephone_number": "614-888-7800",
            "fax_number": "614-888-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 TIPPECANOE RD",
            "address_2": "BLDG E, SUITE 201",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444067107",
            "telephone_number": "330-533-4350",
            "fax_number": "330-533-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO LIVING HOLDINGS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO LIVING HOLDINGS",
        "enumeration_date": "2014-12-30",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "STILLMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "614-888-7800"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohio Living Hospice - Greater Youngstown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canfield, OH

Sources for this page

Verify at the official NPI Registry.