Protem Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PROTEM HOSPICE

Practice address

3535 Lee Rd
Shaker Heights, OH 44120-5122

Phone

(216) 663-8188

Fax

(216) 938-8056

NPI assigned

Apr 16, 2013

Organization subpart

No

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

Authorized official

Name

Ada NworieNPI 1760901524

Title

Director of Nursing

Phone

(216) 663-8188

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Harmony Hospice Care LLC

  • Community Based Hospice Care Agency
  • Beachwood, OH
  • NPI 1518439884

  Sold to, 2019-02-07

  CMS change of ownership

Practitioners 1

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.

• Ada Nworie, RN, PHMNP

  • Psychiatry Physician
  • Shaker Heights, OH
  • NPI 1760901524
  NPD (past) Authorized official

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1619310026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 LEE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205122",
            "telephone_number": "216-663-8188",
            "fax_number": "216-938-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 LEE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205122",
            "telephone_number": "216-663-8188",
            "fax_number": "216-938-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTEM HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "NWORIE",
        "authorized_official_first_name": "ADA",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "216-663-8188"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2697890",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Marie Priestly, LSW
• Primecare Home Health LLC
• Professional Dental Alliance
• Professional Dental Alliance
• Yanira Prokop, LPC
• Protem Medical Inc
• Gregory T Prybylski, D.C.
• Joseph Rabe
• Madyson Radle, SWT
• Jason Rains, PHARMD

• Community Based Hospice Care Agency in Shaker Heights, OH
• Providers in Shaker Heights, 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 Nov 1, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.