NPIMap

Organization Active NPI

Northeast Ohio Hospice, Inc.

  • Community Based Hospice Care Agency
  • Garfield Heights, OH
National Provider Identifier
1386178341
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0243HSP Issued in OH
Legal business name
NORTHEAST OHIO HOSPICE, INC.
Practice address
10204 Granger Rd
Garfield Heights, OH 44125-3106
Phone
(216) 472-2684
Fax
(216) 472-2686
NPI assigned
Apr 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Jennifer Williams
Title
Executive Director
Phone
(216) 472-2684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0243HSP OH Primary

Addresses

Primary practice location

10204 Granger Rd
Garfield Heights, OH 44125-3106

Mailing address

10204 Granger Rd
Garfield Heights, OH 44125-3106
Phone (216) 472-2684

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180125003278 OH Part A Provider - Hospice 3476812140 Practice locations: Garfield Heights, OH

Hospice certification: CCN 361692

Legal name
NORTHEAST OHIO HOSPICE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 8, 2016
Last certification
Jul 8, 2016
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Dec 14, 2016 in OH
Enrollment address
10204 Granger Rd
Garfield Heights, OH 44125-3106

Care Compare: Hospice

Medicare Care Compare
Listed as
Northeast Ohio Hospice, IncCCN 361692
Ownership
Non-Profit
Certified
Jul 8, 2016
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
36D2100108Northeast Ohio Hospice10204 Granger Road, Garfield Heights, OH 44125Certificate of waiverAug 6, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Richard Boyson Individual Corporate Officer Jan 1, 2018
Corporate DirectorTreasurer Jan 1, 2018
Michael D Harrington Individual Contracted Managing EmployeeMD; Nov 9, 2019
William Wooldredge Individual Corporate Director Feb 29, 2024
Laurel Lake Retirement Community, Inc. Organization, Hudson, OH Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2018 25%
Allison Salopeck Individual Corporate Officer Jan 1, 2018
Corporate Director Jan 1, 2018
Sara Beis Individual Corporate Director Dec 12, 2024
Danielle Maur Individual Corporate Officer Mar 1, 2023
Corporate DirectorChairperson Mar 1, 2023
Jennings Center for Older Adults Organization, Garfield Heights, OH Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2018 25%
The Village of St. Edward Foundation Organization, Fairlawn, OH Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2021 25%
Margaret G Weitzel Individual Corporate Director Jan 1, 2018
Eliza Jennings Senior Care Network Organization, Olmsted TWP, OH Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2021 25%
Jennifer Lynne Williams Individual W-2 Managing EmployeeAd; Dec 1, 2020
Operational/Managerial Control Dec 1, 2020
Ken Misener Individual Corporate Director Jan 1, 2018
Anthony Berardi Individual Corporate Officer Mar 10, 2025
Corporate Director Mar 10, 2025

Owners & managing parties with NPI records 2

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

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2018 Change of OwnershipThis provider was the buyer Jennings HospiceCCN 361692, OH, NPI 1437536547

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

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": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1386178341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10204 GRANGER RD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441253106",
            "telephone_number": "216-472-2684",
            "fax_number": "216-472-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10204 GRANGER RD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441253106",
            "telephone_number": "216-472-2684",
            "fax_number": "216-472-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST OHIO HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-472-2684"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OH",
            "license": "0243HSP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

Verify at the official NPI Registry.