Hospice Care of Middletown, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

0149HSP Issued in OH

Legal business name

HOSPICE CARE OF MIDDLETOWN, INC.

Practice address

4418 Lewis St Ste B
Middletown, OH 45044-6183

Phone

(513) 424-2273

Fax

(513) 424-5450

NPI assigned

Aug 25, 2006

Last updated

Feb 26, 2026By 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

Keith Clements

Title

President/Ceo

Phone

(513) 424-2273

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528175304. Details of each certification follow.

• CCN 361626 Hospice · Active · Details

Hospice certification: CCN 361626

Legal name

HOSPICE CARE OF MIDDLETOWN INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 27, 2005

Last certification

Jul 19, 2021

Ownership / control type

Non-Profit - Private

Organization structure

CorporationNon-profit

Incorporated

Oct 14, 2004 in OH

Enrollment address

4418 Lewis St
Ste B
Middletown, OH 45044-6183

Listed as

Hospice Care of Middletown IncCCN 361626 · All quality measures

Ownership

Non-Profit

Certified

Oct 27, 2005

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

Locations

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.

Owners & managing parties with NPI records 2

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

• Richard L Chamberlain, D.O.

  • Family Medicine Physician
  • Franklin, OH
  • NPI 1164427019

  Contracted Managing Employee

  CMS ownership
• Jon E Sulentic, DO

  • Sports Medicine (Family Medicine) Physician
  • Middletown, OH
  • NPI 1013992783

  Corporate Director

  CMS ownership

Affiliated clinicians 8

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

• Asad S Ali, MD

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1053386938

  Hospice

  Care Compare affiliation
• Richard L Chamberlain, D.O.

  • Family Medicine Physician
  • Franklin, OH
  • NPI 1164427019

  Hospice

  Care Compare affiliation
• Omer C Hurlburt III, M.D.

  • Family Medicine Physician
  • Middletown, OH
  • NPI 1578549861

  Hospice

  Care Compare affiliation
• Paul Russell Jennewine, MD

  • Internal Medicine Physician
  • Middletown, OH
  • NPI 1790765725

  Hospice

  Care Compare affiliation
• Maram Khabbaz, MD

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1477728186

  Hospice

  Care Compare affiliation
• Abraham Olagoke Kuranga, M.D.

  • Internal Medicine Physician
  • Montgomery, OH
  • NPI 1821418237

  Hospice

  Care Compare affiliation
• Muhammad Shahid, MD

  • Internal Medicine Physician
  • Dayton, OH
  • NPI 1023329786

  Hospice

  Care Compare affiliation
• Charles W. Welly, D.O.

  • Family Medicine Physician
  • Fincastle, VA
  • NPI 1700956414

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1528175304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 LEWIS ST STE B",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446183",
            "telephone_number": "513-424-2273",
            "fax_number": "513-424-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 LEWIS ST STE B",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446183",
            "telephone_number": "513-424-2273",
            "fax_number": "513-424-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE CARE OF MIDDLETOWN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "513-424-2273"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OH",
            "license": "0149HSP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2631843",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE ID NUMBER",
            "identifier": "0149HSP",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justine Holthaus
• Laurie Holtz, RN
• Anna Holzworth, FNP-BC
• Julie Hom, RN
• Shannon Eileen Honchul, RN
• Motaz Hossein, M.D.
• Matthew James Houchin, D.C.
• Stephen Houff, MD
• Robert Housh
• Mary Ann Howard-Smith, OT,CTR/L

• Community Based Hospice Care Agency in Middletown, OH
• Providers in Middletown, OH by specialty
• Community Based Hospice Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.

Verify at the official NPI Registry.