NPIMap

Organization Active NPI

Hospice of St. Francis, Inc.

Doing business as St Francis Reflections Lifestage Care

  • Community Based Hospice Care Agency
  • Titusville, FL
National Provider Identifier
1598815839
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
5029096 Issued in FL
Legal business name
HOSPICE OF ST. FRANCIS, INC.
Doing business as
St Francis Reflections Lifestage Care
Practice address
1250 Grumman PL Ste B
Titusville, FL 32780-7927
Phone
(321) 269-4240
Fax
(321) 269-5428
NPI assigned
Jan 11, 2007
Last updated
Mar 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Mr. Kamen Jenkins
Title
Manage Care/Systems Specialist
Phone
(321) 522-8612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 5029096 FL Primary

Addresses

Primary practice location

1250 Grumman PL Ste B
Titusville, FL 32780-7927

Mailing address

1250 Grumman PL Ste B
Titusville, FL 32780-7927
Phone (321) 269-4240

Other identifiers 1

IdentifierTypeStateIssuer
087255500MedicaidFL

Other names 1

  • St Francis Reflections Lifestage Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050830000065 FL Part A Provider - Hospice 0749211795 Practice locations: Melbourne, FL; Merritt Island, FL; Titusville, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598815839. Details of each certification follow.

Hospice certification: CCN 101534

Legal name
HOSPICE OF ST FRANCIS INC
Doing business as
ST. FRANCIS REFLECTIONS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 5, 1990
Last certification
Jan 7, 2022
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Nov 29, 1977 in FL
Enrollment address
1250 Grumman PL
Ste B
Titusville, FL 32780-7927

Care Compare: Hospice

Medicare Care Compare
Listed as
St. Francis HospiceCCN 101534 · All quality measures
Ownership
Non-Profit
Certified
Sep 5, 1990
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1005 E Strawbridge Ave
#4740
Melbourne, FL 32901
Phone (321) 269-4240

250 N Wickham Rd
Fl 2
Melbourne, FL 32935
Phone (321) 269-4240

6905 N Wickham Rd
Ste 403
Melbourne, FL 32940
Phone (321) 269-4240

1240 Grumman Pl
Titusville, FL 32780
Phone (321) 269-4240

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Hospice of St Francis Inc Organization, Titusville, FL Created for acquisition, Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 27, 1994 100%
Operational/Managerial Control Jun 27, 1994 100%
Tammy Rolfe Individual Corporate OfficerChief Compliance Officer Apr 2, 2021
Jerry Allender Individual Corporate Director Aug 30, 2005
Joseph Killian Individual Corporate Officer Jan 1, 2015
W-2 Managing EmployeePresident/Ceo Apr 2, 2021
Operational/Managerial ControlPresident and Ceo Apr 2, 2021
Marsha Abeln Individual Corporate OfficerChief Finance Officer (Cfo) Apr 2, 2021
W-2 Managing EmployeeCfo Apr 2, 2021
Christopher McAlpine Individual Corporate DirectorBoard Chair Aug 30, 2005
Samuel Haddad Individual Corporate Director Aug 30, 2005

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1598815839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 GRUMMAN PL STE B",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807927",
            "telephone_number": "321-269-4240",
            "fax_number": "321-269-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 GRUMMAN PL STE B",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807927",
            "telephone_number": "321-269-4240",
            "fax_number": "321-269-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF ST. FRANCIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "KAMEN",
        "authorized_official_title_or_position": "MANAGE CARE/SYSTEMS SPECIALIST",
        "authorized_official_telephone_number": "321-522-8612",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "FL",
            "license": "5029096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087255500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Francis Reflections Lifestage Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.