NPIMap

Organization Active NPI

Sprenger Hospice, Inc.

  • Community Based Hospice Care Agency
  • Lorain, OH
National Provider Identifier
1629320270
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SPRENGER HOSPICE, INC.
Practice address
3905 Oberlin Ave
Lorain, OH 44053-2853
Phone
(440) 989-5200
Fax
(440) 989-5273
NPI assigned
Oct 6, 2012
Last updated
Jul 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Tammi Leonard, BSN, MBA
Title
VP of Ancillary Services
Phone
(614) 205-2152

Specialties & licenses 1

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

Addresses

Primary practice location

3905 Oberlin Ave
Lorain, OH 44053-2853

Mailing address

3905 Oberlin Ave
Lorain, OH 44053-2853
Phone (440) 989-5200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130329000171 OH Part A Provider - Hospice 0446495139 Practice locations: Lorain, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629320270. Details of each certification follow.

Hospice certification: CCN 361674

Legal name
SPRENGER HOSPICE, INC
Doing business as
WELLSPRING HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 4, 2013
Last certification
Sep 4, 2013
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 11, 2012 in OH
Enrollment address
3905 Oberlin Avenue
Lorain, OH 44053

Care Compare: Hospice

Medicare Care Compare
Listed as
Wellspring HospiceCCN 361674 · All quality measures
Ownership
For-Profit
Certified
Sep 4, 2013
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
36D2054722Sprenger Hospice Inc3905 Oberlin Avenue, Lorain, OH 44053Certificate of waiverFeb 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Kenneth Malanowski Individual Corporate OfficerTreasurer / Board of Directors Oct 1, 2012 5%
Sarah H Bonza Individual Contracted Managing EmployeeMD; Feb 3, 2025 5%
Bluesky Healthcare Inc Organization, Lorain, OH For-profit 5% Or Greater Direct Ownership Interest Feb 21, 2013 100%
Tracey M Sprenger Individual Corporate OfficerPresident / Board Member Oct 1, 2012 5%
Tammi a Leonard Individual Corporate OfficerVP of Ancillary Services Jul 1, 2024 5%
W-2 Managing EmployeeAd; Jul 1, 2024 5%
Operational/Managerial ControlVP of Ancillary Services Jul 1, 2024 5%

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 9

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

Practitioners & affiliated clinicians

Affiliated clinicians 10

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

NPI Registry JSON

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

{
    "created_epoch": "1349481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1629320270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 OBERLIN AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440532853",
            "telephone_number": "440-989-5200",
            "fax_number": "440-989-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 OBERLIN AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440532853",
            "telephone_number": "440-989-5200",
            "fax_number": "440-989-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRENGER HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-06",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_title_or_position": "VP OF ANCILLARY SERVICES",
        "authorized_official_telephone_number": "614-205-2152",
        "authorized_official_credential": "BSN, MBA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.