Organization Active NPI

Adoration Hospice Care Ohio, LLC

  • Community Based Hospice Care Agency
  • Independence, OH
National Provider Identifier
1619443264
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ADORATION HOSPICE CARE OHIO, LLC
Practice address
6133 Rockside Rd Ste 101
Independence, OH 44131-2240
Phone
(216) 455-0635
Fax
(216) 455-0538
NPI assigned
Oct 22, 2018
Last updated
May 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Margaret S Pemberton
Title
Vice President and Manager
Phone
(502) 394-2321

Specialties & licenses 1

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

Addresses

Primary practice location

6133 Rockside Rd Ste 101
Independence, OH 44131-2240

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-7101
Phone (502) 394-2100

Other practice location 1

944 Lake Ave
Ashtabula, OH 44004-2926
Phone (440) 358-2085

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201029003118 OH Part A Provider - Hospice 3173933348 Practice locations: Ashtabula, OH; Independence, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619443264. Details of each certification follow.

Hospice certification: CCN 361694

Legal name
ADORATION HOSPICE CARE OHIO LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 14, 2016
Last certification
Jul 23, 2021
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Incorporated
Jul 7, 2020 in OH
Enrollment address
6133 Rockside Rd
Ste 20
Independence, OH 44131-2223

Care Compare: Hospice

Medicare Care Compare
Listed as
Adoration Hospice Care Ohio LLCCCN 361694 · All quality measures
Ownership
For-Profit
Certified
Dec 14, 2016
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
36D2196472Adoration Hospice Care Ohio, LLC6133 Rockside Road Suite 20, Independence, OH 44131Certificate of waiverOct 15, 2026

National Provider Directory

National Provider Directory

Member of 1

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

Locations

2302 Metcalf Dr
Unit 24
Ashtabula, OH 44004
Phone (440) 358-2085

944 Lake Ave
Ashtabula, OH 44004
Phone (440) 358-2085

6133 Rockside Rd
Ste 101
Independence, OH 44131
Phone (216) 455-0635

6133 Rockside Rd
Ste 20
Independence, OH 44131
Phone (216) 455-0635

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Jay Koeper Individual Corporate OfficerPresident Jul 14, 2023
Jennifer Phipps Individual Corporate OfficerTreasurer Jul 22, 2022
Adoration Home Health & Hospice Inc Organization, Louisville, KY Corporation 5% Or Greater Indirect Ownership Interest Jul 7, 2020 100%
Allison Brown Individual Corporate OfficerSecretary Jul 22, 2022
Kimberly D Koski Individual Contracted Managing EmployeeAd; Dec 18, 2025
Margaret Sherry Pemberton Individual Corporate OfficerVice President Jul 7, 2020
W-2 Managing Employee Jul 16, 2018
Brightspring Health Holdings Corp Organization, Louisville, KY Corporation 5% Or Greater Indirect Ownership Interest Jul 7, 2020 100%
Phoenix Guarantor Inc. Organization, Louisville, KY Corporation 5% Or Greater Indirect Ownership Interest Jul 7, 2020 100%
Res-Care Inc Organization, Louisville, KY Corporation 5% Or Greater Indirect Ownership Interest Jul 7, 2020 100%
Phoenix Intermediate Holdings Inc. Organization, Louisville, KY Corporation 5% Or Greater Indirect Ownership Interest Jul 7, 2020 100%
Brightspring Health Services Inc Organization, Louisville, KY Corporation 5% Or Greater Indirect Ownership Interest Jul 7, 2020 100%
KKR Phoenix Aggregator L.P. Organization, New York, NY 5% Or Greater Indirect Ownership Interest Jul 7, 2020 100%
KKR Americas Fund XII LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest Jul 7, 2020 100%
Abdallah Al-Shahed Individual Contracted Managing EmployeeMD; Dec 18, 2025
Rescare Holdings Inc Organization, Louisville, KY Corporation 5% Or Greater Indirect Ownership Interest Jul 7, 2020 100%
Adoration Hospice Care LLC Organization, Louisville, KY LLC 5% Or Greater Direct Ownership Interest Jul 7, 2020 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 150

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

View all 150

Change-of-ownership history 2

DateEventCounterparty
Aug 1, 2020 Change of OwnershipThis provider was the buyer Signal Hospice OhCCN 361694, OH, NPI 1619443264
Aug 1, 2020 Change of OwnershipThis provider was the seller Adoration Hospice Care Ohio LLCCCN 361694, OH, NPI 1619443264

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1619443264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402227101",
            "telephone_number": "502-394-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6133 ROCKSIDE RD STE 101",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312240",
            "telephone_number": "216-455-0635",
            "fax_number": "216-455-0538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "944 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Ashtabula",
            "state": "OH",
            "postal_code": "440042926",
            "country_code": "US",
            "telephone_number": "440-358-2085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADORATION HOSPICE CARE OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "PEMBERTON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT AND MANAGER",
        "authorized_official_telephone_number": "502-394-2321"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.