Pennsylvania in-Home Partner-II, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PENNSYLVANIA IN-HOME PARTNER-II, LLC

Doing business as

Conemaugh Regional Hospice

Practice address

210 Industrial Park Rd Ste 150
Johnstown, PA 15904-1948

Phone

(814) 534-6100

Fax

(814) 534-6105

NPI assigned

Jan 11, 2017

Last updated

May 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Gachassin III

Title

Secretary

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Conemaugh Regional Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396281663. Details of each certification follow.

• CCN 391565 Hospice · Active · Details

Hospice certification: CCN 391565

Legal name

PENNSYLVANIA IN-HOME PARTNER-II LLC

Doing business as

CONEMAUGH REGIONAL HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 5, 1993

Last certification

Dec 23, 2020

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Nov 18, 2016 in PA

Enrollment address

210 Industrial Park Rd
Ste 150
Johnstown, PA 15904-1948

Listed as

Conemaugh Regional HospiceCCN 391565 · All quality measures

Ownership

For-Profit

Certified

Jan 5, 1993

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Tax ID family

Conemaugh Regional Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• DLP Conemaugh Memorial Medical Center LLC

  dba Conemaugh Regional Hospice

  • Community Based Hospice Care Agency
  • Johnstown, PA
  • NPI 1194730556
  NPD tax ID

Locations

All disclosed owners & managing parties 16

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

Facilities with the same owner 198

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

• Nason Physician Practices LLC

  dba Conemaugh Nason Physician Group

  • Rural Health Clinic/Center
  • Claysburg, PA
  • NPI 1700260114

  Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Hospitals Holdings LLC

  CMS ownership
• Pennsylvania in-Home Partner-I, LLC

  dba Conemaugh Home Health

  • Home Health Agency
  • Johnstown, PA
  • NPI 1831613520

  Historic Lifepoint Hospitals, LLC, Home Health Partner LLC, In-Home Healthcare Partnership LLC, Legacy Lifepoint Health LLC, LHCG Partner LLC, Lifepoint Hospitals Holdings LLC

  CMS ownership
• Pennsylvania in-Home Partner-III, LLC

  dba Nason Hospital Home Health Agency

  • Home Health Agency
  • Roaring Spring, PA
  • NPI 1699280701

  Historic Lifepoint Hospitals, LLC, Home Health Partner LLC, In-Home Healthcare Partnership LLC, Legacy Lifepoint Health LLC, LHCG Partner LLC, Lifepoint Hospitals Holdings LLC

  CMS ownership
• Acquisition Bell Hospital LLC

  dba UP Health System Bell

  • Critical Access Hospital
  • Ishpeming, MI
  • NPI 1699101345

  Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Hospitals Holdings LLC

  CMS ownership
• Acquisition Bell Hospital LLC

  dba UP Health System Bell

  • Medicare Defined Swing Bed Hospital Unit
  • Ishpeming, MI
  • NPI 1760819858

  Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Hospitals Holdings LLC

  CMS ownership
• Amg-Crockett LLC

  dba Summertown Medical Center

  • Rural Health Clinic/Center
  • Mt Pleasant, TN
  • NPI 1255069639

  Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Hospitals Holdings LLC

  CMS ownership
• Amg-Crockett, LLC

  dba First Choice Health Lawrenceburg

  • Rural Health Clinic/Center
  • Lawrenceburg, TN
  • NPI 1023840998

  Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Hospitals Holdings LLC

  CMS ownership
• Amg-Crockett, LLC

  dba Southern Tennessee Internal Medicine - Lawrenceburg

  • Rural Health Clinic/Center
  • Lawrenceburg, TN
  • NPI 1417739640

  Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Hospitals Holdings LLC

  CMS ownership
• Amg-Crockett, LLC

  dba First Choice Health Loretto

  • Rural Health Clinic/Center
  • Loretto, TN
  • NPI 1811543929

  Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Hospitals Holdings LLC

  CMS ownership
• Amg-Crockett, LLC

  dba Women's Health Clinic

  • Rural Health Clinic/Center
  • Lawrenceburg, TN
  • NPI 1891580858

  Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Hospitals Holdings LLC

  CMS ownership
• Amg-Hillside LLC

  dba Southern Tennessee Family Health - Pulaski

  • Rural Health Clinic/Center
  • Pulaski, TN
  • NPI 1063294296

  Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Hospitals Holdings LLC

  CMS ownership
• Amg-Hillside LLC

  dba Southern Tennessee Primary Care Eastside

  • Rural Health Clinic/Center
  • Pulaski, TN
  • NPI 1144052002

  Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Hospitals Holdings LLC

  CMS ownership

Change-of-ownership history 1

Change of ownership 1

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

• DLP Conemaugh Memorial Medical Center LLC

  dba Conemaugh Regional Hospice

  • Community Based Hospice Care Agency
  • Johnstown, PA
  • NPI 1194730556

  Acquired from, 2017-01-01

  CMS change of ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Donald F Ratchford, MD

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1134125792

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1396281663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 INDUSTRIAL PARK RD STE 150",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041948",
            "telephone_number": "814-534-6100",
            "fax_number": "814-534-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA IN-HOME PARTNER-II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103326458",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conemaugh Regional Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Conemaugh Regional Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Johnstown, PA
• Providers in Johnstown, PA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.