Active NPI
Adoration Hospice Care Ohio, LLC
- Community Based Hospice Care Agency
- Independence, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- For-Profit
- Certified
- Dec 14, 2016
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2196472 | Adoration Hospice Care Ohio, LLC | Certificate of waiver | Oct 15, 2026 |
National Provider Directory
National Provider DirectoryMember 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.
| 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% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Westlake, OH
- NPI 1639159528
Contracted Managing Employee
Facilities with the same owner 150
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Adoration Hospice
- Community Based Hospice Care Agency
- Beavercreek, OH
- NPI 1003067216
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc
-
dba Adoration Home Health
- Home Health Agency
- Belpre, OH
- NPI 1811153646
Adoration Home Health & Hospice Inc, Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Holdings Inc
-
dba Adoration Home Health Brownsville
- Home Health Agency
- Brownsville, TN
- NPI 1639659675
Adoration Home Health & Hospice Inc, Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Hold
-
dba Adoration Home Health
- Home Health Agency
- Knoxville, TN
- NPI 1255811295
Adoration Home Health & Hospice Inc, Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Hold
-
dba Adoration Home Health Martin
- Home Health Agency
- Martin, TN
- NPI 1093295040
Adoration Home Health & Hospice Inc, Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Hold
-
dba Adoration Home Health McMinnville
- Home Health Agency
- McMinnville, TN
- NPI 1275013229
Adoration Home Health & Hospice Inc, Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Hold
-
dba Adoration Home Health Nashville South
- Home Health Agency
- Brentwood, TN
- NPI 1346720398
Adoration Home Health & Hospice Inc, Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Hold
-
dba Abode Hospice of Colorado
- Community Based Hospice Care Agency
- Colorado Springs, CO
- NPI 1326459025
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc
-
dba Abode Hospice of Pueblo
- Community Based Hospice Care Agency
- Pueblo, CO
- NPI 1861097982
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc
-
dba Abode Hospice of Colorado
- Community Based Hospice Care Agency
- Lakewood, CO
- NPI 1427469113
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc
-
dba Abode Hospice of Colorado
- Community Based Hospice Care Agency
- Grand Junction, CO
- NPI 1447611512
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc
-
dba Hospice of the Midwest
- Community Based Hospice Care Agency
- Woodbury, MN
- NPI 1538552757
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc
Change-of-ownership history 2
| Date | Event | Counterparty |
|---|---|---|
| Aug 1, 2020 | Change of Ownership | Signal Hospice Oh |
| Aug 1, 2020 | Change of Ownership | Adoration Hospice Care Ohio LLC |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.