NPIMap

Organization Active NPI

Allied Services Hospice, LLC

Doing business as Allied Services Hospice

  • Community Based Hospice Care Agency
  • Clarks Summit, PA
National Provider Identifier
1477969012
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ALLIED SERVICES HOSPICE, LLC
Doing business as
Allied Services Hospice
Practice address
100 Abington Executive Park
Clarks Summit, PA 18411-2260
Phone
(570) 348-2227
Fax
(570) 340-6483
NPI assigned
Jul 3, 2014
Last updated
Oct 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Dr. Robert Cole
Title
Vice President
Phone
(570) 341-4614

Specialties & licenses 1

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

Addresses

Primary practice location

100 Abington Executive Park
Clarks Summit, PA 18411-2260

Mailing address

100 Abington Executive Park
Clarks Summit, PA 18411-2260
Phone (570) 348-2227

Other names 1

  • Allied Services Hospice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Email Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230626002113 PA Part A Provider - Hospice 3274991187 Practice locations: Clarks Summit, PA; Scranton, PA; Wilkes Barre, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477969012. Details of each certification follow.

Hospice certification: CCN 391773

Legal name
ALLIED SERVICES HOSPICE LLC
Doing business as
ALLIED SERVICES PHARMACY
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 17, 2015
Last certification
Nov 19, 2021
Ownership / control type
Non-Profit - Private
Organization structure
LLCNon-profit
Incorporated
Apr 10, 2023 in PA
Enrollment address
100 Abington Executive Park
Clarks Summit, PA 18411-2260

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Allied Services Hospice LLCCCN 391773 · All quality measures
Ownership
Non-Profit
Certified
Nov 17, 2015
Medicare certification status
ActiveFrom the Provider of Services file

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 11

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

NameRoleSinceShare
Kenneth J Krogulski Individual Corporate OfficerChairman Jul 1, 2023
Corporate DirectorBoard Member Jul 1, 2023
Martin Moran Individual Contracted Managing EmployeeMedical Director Jul 1, 2023
Allied Health Care Services Organization, Clarks Summit, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2023 100%
Louis Denaples Individual Corporate OfficerVice Chairman Jul 1, 2023
Corporate DirectorBoard Member Jul 1, 2023
Laura Marion Individual W-2 Managing EmployeeHospice Director Jul 1, 2023
Christina Mueller Individual Corporate DirectorBoard Member Jul 1, 2023
William P Conaboy Individual Corporate OfficerTreasurer Jul 1, 2023
Corporate DirectorBoard Member Jul 1, 2023
Jill Murray Individual Corporate OfficerSecretary Jul 1, 2023
Corporate DirectorBoard Member Jul 1, 2023
Michael E Avvisato Individual Corporate OfficerAssistant Secretary/Treasurer Jul 1, 2023
Jay Brislin Individual Corporate DirectorBoard Member Jul 1, 2023
Allied Services Foundation Organization, Clarks Summit, PA Corporation, Non-profit Operational/Managerial Control Jul 1, 2023

Owners & managing parties with NPI records 3

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

Facilities with the same owner 8

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

Change-of-ownership history 2

DateEventCounterparty
Jul 1, 2023 Change of OwnershipThis provider was the buyer Allied Services HospiceCCN 391773, PA, NPI 1477969012
Jul 1, 2023 Change of OwnershipThis provider was the seller Allied Services PharmacyCCN 391773, PA, NPI 1477969012

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1477969012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ABINGTON EXECUTIVE PARK",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184112260",
            "telephone_number": "570-348-2227",
            "fax_number": "570-340-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ABINGTON EXECUTIVE PARK",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184112260",
            "telephone_number": "570-348-2227",
            "fax_number": "570-340-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED SERVICES HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "570-341-4614",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Email",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "100 Abington Executive Park",
            "city": "Clarks Summit",
            "state": "PA",
            "country_code": "US",
            "postal_code": "184112260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Allied Services Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allied Services Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarks Summit, PA

Sources for this page

Verify at the official NPI Registry.