Adoration Hospice Care Ohio, LLC
Organization Active NPI Community Based Hospice Care Agency · Independence, OH
NPI 1619443264 · NPPES record last updated May 15, 2026
Key facts
- NPI
- 1619443264
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 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
- Organization subpart
- No
Authorized official
- Name
- Margaret S Pemberton
- Title
- Vice President and Manager
- Phone
- (502) 394-2321
Owners & managing parties with NPI records 1
Member of 1
Facilities with the same owner 150
Medicare Care Compare: Hospice
- Listed as
- Adoration Hospice Care Ohio LLC
- Ownership
- For-Profit
- Certified
- Dec 14, 2016
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2196472 | Adoration Hospice Care Ohio, LLC | Certificate of waiver | Oct 15, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
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
- LLC · Proprietary
- Incorporated
- Jul 7, 2020 in OH
- Enrollment address
- 6133 Rockside Rd
Ste 20
Independence, OH 44131-2223
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Jay Koeper |
Corporate Officer |
Jul 14, 2023 | |
| Jennifer Phipps |
Corporate Officer |
Jul 22, 2022 | |
| Adoration Home Health & Hospice Inc |
5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 100% |
| Allison Brown |
Corporate Officer |
Jul 22, 2022 | |
| Kimberly D Koski |
Contracted Managing Employee |
Dec 18, 2025 | |
| Margaret Sherry Pemberton |
Corporate Officer |
Jul 7, 2020 | |
| W-2 Managing Employee | Jul 16, 2018 | ||
| Brightspring Health Holdings Corp |
5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 100% |
| Phoenix Guarantor Inc. |
5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 100% |
| Res-Care Inc |
5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 100% |
| Phoenix Intermediate Holdings Inc. |
5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 100% |
| Brightspring Health Services Inc |
5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 100% |
| KKR Phoenix Aggregator L.P. |
5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 100% |
| KKR Americas Fund XII LP |
5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 100% |
| Abdallah Al-Shahed |
Contracted Managing Employee |
Dec 18, 2025 | |
| Rescare Holdings Inc |
5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 100% |
| Adoration Hospice Care LLC |
5% Or Greater Direct Ownership Interest | Jul 7, 2020 | 100% |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Aug 1, 2020 | Change of Ownership |
Signal Hospice Oh |
| Aug 1, 2020 | Change of Ownership |
Adoration Hospice Care Ohio LLC |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201029003118 | OH | Part a Provider - Hospice | 3173933348 | Practice locations: Ashtabula, OH; Independence, OH |
National Provider Directory
Locations
944 Lake Ave
Ashtabula, OH 44004
Phone (440) 358-2085
2302 Metcalf Dr
Unit 24
Ashtabula, OH 44004
Phone (440) 358-2085
6133 Rockside Rd
Ste 20
Independence, OH 44131
Phone (216) 455-0635
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
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
Other providers in Independence, OH
- ABA Outreach Services
- Chante' Adams
- Addus Healthcare (South Carolina), Inc.
- Jacquese Adkins
- Estella Mary Adoma
- Advanced Eye Care Centers of Cleveland, Inc.
- Margaret Smith Aeschliman
- Affiliates in Behavioral Health, LLC
- Sheremaria Agaiby
- Ahh Cleveland Inc
All providers in Independence, OH · Community Based Hospice Care Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.