NPIMap

Organization Active NPI

DW Hearthstone Holdings, LLC

Doing business as Hearthstone Home Care

  • Home Health Agency
  • Duluth, MN
National Provider Identifier
1508290545
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DW HEARTHSTONE HOLDINGS, LLC
Doing business as
Hearthstone Home Care
Practice address
11 E Superior St
Suite 531
Duluth, MN 55802-2007
Phone
(218) 740-4290
Fax
(218) 279-4412
NPI assigned
Aug 27, 2013
Last updated
Aug 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Mr. Robert A. Sweet
Title
Vice President
Phone
(202) 329-0268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11 E Superior St
Suite 531
Duluth, MN 55802-2007

Mailing address

11 E Superior St
Suite 531
Duluth, MN 55802-2007
Phone (218) 740-4290

Other names 1

  • Hearthstone Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130924000206 MN Part A Provider - Home Health Agency 7315181898 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Duluth, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508290545. Details of each certification follow.

Home health agency certification: CCN 248109

Legal name
DW HEARTHSTONE HOLDINGS, LLC
Doing business as
BENEDICTINE HOME HEALTH DULUTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 22, 2010
Last certification
Jul 25, 2019
Ownership / control type
Non-Profit
Organization structure
LLCProprietary
Incorporated
Feb 13, 2013 in DE
Enrollment address
935 Kenwood Ave
Duluth, MN 55811-4951
HHA Branch

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Benedictine Home Health DuluthCCN 248109 · All quality measures
Overall star rating
2.5 of 5
Ownership
Non-Profit
Certified
Apr 22, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

11 E Superior St
Ste 531
Duluth, MN 55802
Phone (218) 740-4290

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
Anneliese Peterson Individual Corporate DirectorBoard Member Dec 5, 2022
Benedictine Health Center Organization, Duluth, MN Corporation, Management services company, Non-profit 5% Or Greater Direct Ownership Interest Dec 1, 2021 100%
Amanda L Szumowski Individual W-2 Managing EmployeeCommunity Health Director Jul 1, 2014
Kevin J Rymanowski Individual Corporate DirectorBoard Member/Treasurer/Cfo Dec 1, 2021
Tricia Bergien Individual Corporate OfficerAssistant Treasurer Dec 1, 2021
Brenda S Marshall Individual Operational/Managerial ControlHome Health Manager Nov 1, 2014
Gerald Carley Individual Corporate DirectorBoard Member/President Dec 1, 2021
Benedictine Health System Organization, Fridley, MN Corporation, Management services company, Non-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2021 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

Affiliated clinicians 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1508290545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E SUPERIOR ST",
            "address_2": "SUITE 531",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022007",
            "telephone_number": "218-740-4290",
            "fax_number": "218-279-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E SUPERIOR ST",
            "address_2": "SUITE 531",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022007",
            "telephone_number": "218-740-4290",
            "fax_number": "218-279-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DW HEARTHSTONE HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "SWEET",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "202-329-0268",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hearthstone Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.