Organization Active NPI

Transitions Ohio II LLC

  • Community Based Hospice Care Agency
  • Worthington, OH
National Provider Identifier
1578282091
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TRANSITIONS OHIO II LLC
Practice address
250 E Wilson Bridge Rd Ste 110
Worthington, OH 43085-2323
Phone
(847) 515-1505
NPI assigned
Aug 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Omar Khamis
Title
Cfo
Phone
(847) 515-1505

Specialties & licenses 1

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

Addresses

Primary practice location

250 E Wilson Bridge Rd Ste 110
Worthington, OH 43085-2323

Mailing address

8913 N Prairie Pointe Rd
Peoria, IL 61615-1577
Phone (847) 515-1505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230227002556 OH Part A Provider - Hospice 5193198950 Practice locations: Worthington, OH

Hospice certification: CCN 361730

Legal name
TRANSITIONS OHIO II LLC
Doing business as
UCM CENTER FOR ADVANCED CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 18, 2023
Last certification
May 4, 2023
Organization structure
LLCProprietary
Incorporated
Feb 11, 2022 in OH
Enrollment address
250 E Wilson Bridge Rd
Ste 110
Worthington, OH 43085-2323

Care Compare: Hospice

Medicare Care Compare
Listed as
Transitions Ohio II LLCCCN 361730
Certified
May 18, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2271571Transitions Ohio II LLC250 E Wilson Bridge Road, Suite 110, Worthington, OH 43085Certificate of waiverNov 2, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

250 E Wilson Bridge Rd
Ste 110
Worthington, OH 43085
Phone (847) 575-1505

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
Omar Khamis Individual Corporate OfficerCfo Dec 3, 2023
Transitions Acquisition LP Organization, Birmingham, MI 5% Or Greater Indirect Ownership Interest Dec 10, 2022 57.09%
Aberdeen US Private Equity VIII LP Organization, Naperville, IL 5% Or Greater Indirect Ownership Interest Jan 10, 2022 11.65%
Transitions Intermediate Holdings LLC Organization, Elk Grove Village, IL LLC 5% Or Greater Direct Ownership Interest Dec 10, 2022 100%
James M Palazzo Individual 5% Or Greater Indirect Ownership Interest Dec 10, 2022 37.09%
Sarah H Bonza Individual Contracted Managing EmployeeMD; Jan 12, 2024
Lorient Transitions LLC Organization, Birmingham, MI LLC 5% Or Greater Indirect Ownership Interest Dec 10, 2022 40.78%
University of Chicago Organization, Chicago, IL Non-profit 5% Or Greater Indirect Ownership Interest Dec 10, 2022 10.1%
Jonathan Stottlemyer Individual W-2 Managing EmployeeAdministrator Dec 31, 2023
Kai Holdings LLC Organization, Naperville, IL LLC 5% Or Greater Indirect Ownership Interest Dec 10, 2022 37.09%
Patricia Benson Individual Corporate OfficerCeo Dec 3, 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 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1578282091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8913 N PRAIRIE POINTE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151577",
            "telephone_number": "847-515-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E WILSON BRIDGE RD STE 110",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852323",
            "telephone_number": "847-515-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONS OHIO II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "KHAMIS",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-515-1505"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.