Active NPI
Family Home Health LP
Doing business as Quality Life Services, Inc.
- Community Based Hospice Care Agency
- Monroeville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- FAMILY HOME HEALTH LP
- Doing business as
- Quality Life Services, Inc.
family home health and three rivers hospice - Practice address
- 300 Oxford Dr Ste 200
Monroeville, PA 15146-2398 - Phone
- (412) 856-4000
- Fax
- (412) 373-6877
- NPI assigned
- Nov 27, 2017
- Last updated
- Sep 12, 2019
- Organization subpart
- Yes
- Parent organization
- SUGAR CREEK REST, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dean Rippee
- Title
- Cfo
- Phone
- (724) 431-0770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | PA | Primary |
Addresses
Primary practice location
300 Oxford Dr Ste 200
Monroeville, PA 15146-2398
Mailing address
612 N Main St
Butler, PA 16001-4363
Phone (724) 431-0770
Other names 2
- Quality Life Services, Inc.
- family home health and three rivers hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180212000373 | PA | Part A Provider - Hospice | 7012277213 | Practice locations: Monroeville, PA; New Castle, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1669986824. Details of each certification follow.
Hospice certification: CCN 391670
- Legal name
- FAMILY HOME HEALTH LP
- Doing business as
- THREE RIVERS HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 14, 2005
- Last certification
- Feb 3, 2022
- Ownership / control type
- Proprietary - Partnership
- Organization structure
- Partnership
- Incorporated
- Jun 26, 2017 in PA
- Enrollment address
- 300 Oxford Dr
Ste 200
Monroeville, PA 15146-2398
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba family home health and three rivers hospice
- Home Health Agency
- Monroeville, PA
- NPI 1881108272
7012277213
Care Compare: Hospice
Medicare Care Compare- Listed as
- Three Rivers Hospice
- Ownership
- For-Profit
- Certified
- Dec 14, 2005
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Family Home Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba family home health and three rivers hospice
- Home Health Agency
- Monroeville, PA
- NPI 1881108272
Locations
300 Oxford Dr
Ste 200
Monroeville, PA 15146
Phone (412) 856-4000
3100 Wilmington Rd
New Castle, PA 16105
Phone (724) 658-5201
Ownership & related parties
All disclosed owners & managing parties 12
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 |
|---|---|---|---|
| Paula J Minnicks | W-2 Managing Employee | Feb 1, 2018 | |
| Steven D Tack Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Feb 1, 2018 | 33% |
| Mary Susan Tack-Yurek Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Feb 1, 2018 | 33% |
| Kevin M Wong | W-2 Managing Employee | Feb 1, 2018 | |
| Susan Tack Beardsley Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Feb 1, 2018 | 33% |
| Marilyn Cornman | Corporate Director | Aug 1, 2022 | 100% |
| Susan E Tack-Beardsley | Other | Feb 1, 2018 | 33.3% |
| Mary S Tack-Yurek | Other | Feb 1, 2018 | |
| Tack Family Ventures LLC | Limited Partnership Interest | Jun 26, 2017 | 99% |
| Sugar Creek Rest Inc | General Partnership Interest | Jun 26, 2017 | 1% |
| Operational/Managerial Control | Feb 1, 2018 | ||
| Steven D Tack | Other | Feb 1, 2018 | |
| Michael Markivich | Corporate Officer | Jul 26, 2023 | 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 7
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba family home health and three rivers hospice
- Home Health Agency
- Monroeville, PA
- NPI 1881108272
Mary Susan Tack-Yurek Irrevocable Trust, Steven D Tack Irrevocable Trust, Sugar Creek Rest Inc, Susan Tack Beardsley Irrevocable Trust
-
dba Quality Life Services - Grove City
- Skilled Nursing Facility
- Grove City, PA
- NPI 1215702097
Mary Susan Tack-Yurek Irrevocable Trust, Steven D Tack Irrevocable Trust, Susan Tack Beardsley Irrevocable Trust
-
- Skilled Nursing Facility
- Markleysburg, PA
- NPI 1285409029
Mary Susan Tack-Yurek Irrevocable Trust, Steven D Tack Irrevocable Trust
-
dba Quality Life Services - Markleysburg
- Skilled Nursing Facility
- Markleysburg, PA
- NPI 1629843461
Mary Susan Tack-Yurek Irrevocable Trust, Steven D Tack Irrevocable Trust, Susan Tack Beardsley Irrevocable Trust
-
dba Quality Life Services - Mercer
- Skilled Nursing Facility
- Mercer, PA
- NPI 1669247409
Mary Susan Tack-Yurek Irrevocable Trust, Steven D Tack Irrevocable Trust, Susan Tack Beardsley Irrevocable Trust
-
dba Quality Life Services - New Castle
- Skilled Nursing Facility
- New Castle, PA
- NPI 1669247367
Mary Susan Tack-Yurek Irrevocable Trust, Steven D Tack Irrevocable Trust, Susan Tack Beardsley Irrevocable Trust
-
dba Quality Life Services - Sarver
- Skilled Nursing Facility
- Sarver, PA
- NPI 1841065547
Mary Susan Tack-Yurek Irrevocable Trust, Steven D Tack Irrevocable Trust, Susan Tack Beardsley Irrevocable Trust
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Feb 1, 2018 | Change of Ownership | Three Rivers Hospice |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Family Home Health Services
- Home Health Agency
- Monroeville, PA
- NPI 1700997244
Acquired from, 2018-02-01
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Tempe, AZ
- NPI 1023260627
-
- Family Medicine Physician
- Jeannette, PA
- NPI 1437177193
Affiliated clinicians 19
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Pittsburgh, PA
- NPI 1477583920
Hospice
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Pittsburgh, PA
- NPI 1316146384
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568246400000",
"number": "1669986824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 N MAIN ST",
"city": "BUTLER",
"state": "PA",
"postal_code": "160014363",
"telephone_number": "724-431-0770",
"fax_number": "724-431-0764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 OXFORD DR STE 200",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462398",
"telephone_number": "412-856-4000",
"fax_number": "412-373-6877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HOME HEALTH LP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUGAR CREEK REST, INC.",
"enumeration_date": "2017-11-27",
"last_updated": "2019-09-12",
"status": "A",
"authorized_official_last_name": "RIPPEE",
"authorized_official_first_name": "DEAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "724-431-0770"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Quality Life Services, Inc.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Quality Life Services, Inc.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "family home health and three rivers hospice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Monroeville, PA
- Facial Surgery Center of Monroeville LLC
- Nosheen Fahd, MD
- Carla T Falcon, DO
- Michele Falcon, CRNA
- Richard Mario Falcone II, DC
- Family Home Health LP (family home health and three rivers hospice)
- Family Home Health Services, Inc. (Family Home Health Services)
- Family Recovery, LLC (AppleGate Recovery Monroeville)
- Mohammad Farooq
- Ben Farrar, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.