NPIMap

Organization Active NPI

Hospice of Washington County Inc

  • Community Based Hospice Care Agency
  • Hagerstown, MD
National Provider Identifier
1710064878
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE OF WASHINGTON COUNTY INC
Practice address
1710 Underpass Way Ste 300
Hagerstown, MD 21740-6924
Phone
(301) 791-6360
NPI assigned
Nov 1, 2006
Last updated
Apr 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Authorized official

Name
Siham Andraos
Title
Revenue Cycle Director
Phone
(301) 791-6360

Specialties & licenses 1

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

Addresses

Primary practice location

1710 Underpass Way Ste 300
Hagerstown, MD 21740-6924

Mailing address

1710 Underpass Way Ste 300
Hagerstown, MD 21740-6924
Phone (301) 791-6360

Other identifiers 1

IdentifierTypeStateIssuer
553265505MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021226000014 MD Part A Provider - Hospice 8729996848 Practice locations: Hagerstown, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710064878. Details of each certification follow.

Hospice certification: CCN 211511

Legal name
HOSPICE OF WASHINGTON COUNTY, INC
Doing business as
GILCHRIST ELDER MEDICAL CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 30, 1989
Last certification
May 10, 2019
Ownership / control type
Other
Organization structure
CorporationNon-profit
Enrollment address
1710 Underpass Way
Ste 300
Hagerstown, MD 21740-8158

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of Washington County, IncCCN 211511 · All quality measures
Ownership
Other
Certified
Aug 30, 1989
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Hospice of Washington County Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Mike Fostrer Individual Corporate DirectorBoard Member Jan 1, 2019
John Roney Individual Corporate DirectorBoard Member Jan 1, 2016
Brent Feight Individual Corporate DirectorBoard Member Jan 1, 2021
Kelli Cobb Individual Corporate DirectorBoard Member Jan 1, 2022
Gilchrist Hospice Care Inc Organization, Hunt Valley, MD Medical provider/supplier, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2024 100%
Kathy Lewis Individual Corporate DirectorCompliance Feb 4, 2019
W-2 Managing Employee Feb 4, 2019
GBMC Healthcare Inc Organization, Baltimore, MD Holding company 5% Or Greater Indirect Ownership Interest Sep 1, 2024 100%
Christy Turner Individual Corporate DirectorBoard Member Jan 1, 2017
Thomas Newcomer Individual Corporate DirectorBoard Member Jan 1, 2014
Siham Andraos Individual Corporate DirectorDirector of Revenue Cycle Apr 13, 2020
W-2 Managing EmployeeDirector of Revenue Cycle Apr 13, 2020
Sara a McKay Individual Corporate OfficerCeo Aug 15, 2023
W-2 Managing EmployeeCeo Nov 4, 2019
Everth Ernesto Lopez Individual Corporate OfficerCeo Jul 31, 2017
W-2 Managing EmployeeCeo Jul 31, 2017
Elizabeth Krell Individual Corporate DirectorBoard Member Sep 1, 2014
Sybil Attardi Individual Corporate DirectorBoard Member Jan 1, 2021
Mary Bowman Individual Corporate DirectorBoard Member Feb 1, 2019
Pamela Tetlow Individual Corporate DirectorBoard Member Jan 1, 2022
Jerry Bullington Individual Corporate DirectorBoard Member Jan 1, 2016
John Martirano Individual Corporate DirectorBoard Member Sep 1, 2014
Tereance Moore Individual Corporate DirectorBoard Member Jan 1, 2022
Jason Malott Individual Corporate DirectorBoard Member May 1, 2018
James Pierne Individual Corporate DirectorBoard Member Jan 1, 2018

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Franklin Hospice, LLCChambersburg, PA, CCN 391793 Hospice 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1710064878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 UNDERPASS WAY STE 300",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406924",
            "telephone_number": "301-791-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 UNDERPASS WAY STE 300",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406924",
            "telephone_number": "301-791-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF WASHINGTON COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "ANDRAOS",
        "authorized_official_first_name": "SIHAM",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "301-791-6360"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "553265505",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.