NPIMap

Organization Active NPI

Hospice of Okeechobee, Inc.

  • Community Based Hospice Care Agency
  • Okeechobee, FL
National Provider Identifier
1659334464
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
5026096 Issued in FL
Legal business name
HOSPICE OF OKEECHOBEE, INC.
Practice address
411 SE 4TH St
Okeechobee, FL 34974-4437
Phone
(863) 467-2321
Fax
(863) 467-8330
NPI assigned
Apr 11, 2006
Last updated
Aug 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Crystal Bucciarelli
Title
VP, Legal Services
Phone
(813) 871-8075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 5026096 FL Primary

Addresses

Primary practice location

411 SE 4TH St
Okeechobee, FL 34974-4437

Mailing address

PO Box 1548
Okeechobee, FL 34973-1548
Phone (863) 467-2321

Other identifiers 1

IdentifierTypeStateIssuer
087538400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101230000934 FL Part A Provider - Hospice 2567650849 Practice locations: Okeechobee, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659334464. Details of each certification follow.

Hospice certification: CCN 101527

Legal name
HOSPICE OF OKEECHOBEE, INC.
Doing business as
CHAPTERS HEALTH HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 3, 1987
Last certification
Feb 9, 2022
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Jun 13, 1986 in FL
Enrollment address
411 SE 4TH Street
Okeechobee, FL 34974-4437

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of Okeechobee IncorporatedCCN 101527 · All quality measures
Ownership
For-Profit
Certified
Jun 3, 1987
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
10D0949700Hospice of Okeechobee Incorporated411 SE 4TH Street, Okeechobee, FL 34974Certificate of waiverAug 9, 2026

National Provider Directory

National Provider Directory

Locations

411 SE 4th St
Okeechobee, FL 34974
Phone (863) 467-2321

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Susan Surmont Individual W-2 Managing EmployeeExecutive Director Jan 1, 2022
David Oneil Individual Corporate OfficerChief Financial Officer Aug 1, 2019
Chapters Health System Inc Organization, Temple Terrace, FL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 2019
Andrew K Molosky Individual Corporate OfficerChief Executive Officer Aug 1, 2019
Crystal Bucciarelli Individual Contracted Managing EmployeeDirector of Legal Services Jan 1, 2022
Corporate DirectorDirector Jan 1, 2022
Dean H Forman Individual Corporate OfficerChief Operations Officer Aug 1, 2019

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 1

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": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1659334464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1548",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349731548",
            "telephone_number": "863-467-2321",
            "fax_number": "863-467-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 SE 4TH ST",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349744437",
            "telephone_number": "863-467-2321",
            "fax_number": "863-467-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF OKEECHOBEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "BUCCIARELLI",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "VP, LEGAL SERVICES",
        "authorized_official_telephone_number": "813-871-8075"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "FL",
            "license": "5026096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087538400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

Verify at the official NPI Registry.