Active NPI
Elevate Hospice, LLC
- Community Based Hospice Care Agency
- Overland Park, KS
National Provider Identifier
1518563154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ELEVATE HOSPICE, LLC
- Practice address
- 4801 W 100TH Street
Suite 110
Overland Park, KS 66211 - Phone
- (816) 795-7990
- Fax
- (816) 400-1985
- NPI assigned
- Dec 9, 2020
- Last updated
- May 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katie Sanders, MJ, BSN, RN, CHC
- Title
- VP Compliance
- Phone
- (205) 652-6167
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
4801 W 100TH Street
Suite 110
Overland Park, KS 66211
Mailing address
PO Box 2130
Daphne, AL 36526-2130
Phone (205) 652-6167
Other names 1
- Specialized Hospice, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210301001342 | KS | Part A Provider - Hospice | 1355757261 | Practice locations: Overland Park, KS |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1518563154. Details of each certification follow.
Hospice certification: CCN 171619
- Legal name
- SPECIALIZED HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 28, 2021
- Last certification
- Dec 28, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Dec 31, 2020 in KS
- Enrollment address
- 4801 W 110TH St
Ste 110
Overland Park, KS 66211-1347
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
- Specialized Hospice, LLC
- Ownership
- For-Profit
- Certified
- Dec 28, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Elevate Hospice LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Wichita, KS
- NPI 1699501882
-
- Community Based Hospice Care Agency
- Wichita, KS
- NPI 1942956198
-
- Community Based Hospice Care Agency
- Independence, MO
- NPI 1992312383
Ownership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Bo Thomas | 5% Or Greater Direct Ownership Interest | Jul 21, 2023 | 5.82% |
| Corporate Officer | Oct 10, 2022 | ||
| W-2 Managing Employee | Feb 16, 2024 | 100% | |
| Jolie Chance | Contracted Managing Employee | Jun 1, 2023 | 100% |
| James S Dibben | W-2 Managing Employee | Feb 16, 2024 | 100% |
| Charles V Cuda | 5% Or Greater Direct Ownership Interest | Jul 21, 2023 | 46.09% |
| Jomarie Guastello | 5% Or Greater Direct Ownership Interest | Jul 21, 2023 | 46.09% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Harrisonville, MO
- NPI 1174754832
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1607472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779235200000",
"number": "1518563154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2130",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365262130",
"telephone_number": "205-652-6167",
"fax_number": "205-742-0028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 W 100TH STREET",
"address_2": "SUITE 110",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66211",
"telephone_number": "816-795-7990",
"fax_number": "816-400-1985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEVATE HOSPICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-09",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "KATIE",
"authorized_official_title_or_position": "VP COMPLIANCE",
"authorized_official_telephone_number": "205-652-6167",
"authorized_official_credential": "MJ, BSN, RN, CHC"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Specialized Hospice, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.