Active NPI
Gentle Shepherd Hospice, Inc
- Community Based Hospice Care Agency
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- HSP-10172
- Legal business name
- GENTLE SHEPHERD HOSPICE, INC
- Practice address
- 154 Hansen Rd
Suite 202-C
Charlottesville, VA 22911-8839 - Phone
- (434) 220-6002
- Fax
- (434) 202-1365
- NPI assigned
- Jun 1, 2010
- Last updated
- Jun 1, 2010
- 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
- Donald Eckenroth III
- Title
- President
- Phone
- (540) 989-6265
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | HSP-10172 | VA | Primary |
Addresses
Primary practice location
154 Hansen Rd
Suite 202-C
Charlottesville, VA 22911-8839
Mailing address
6045 Peters Creek Rd
Roanoke, VA 24019-4029
Phone (540) 989-6265
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4910133 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041217000448 | VA | Part A Provider - Hospice | 5496712721 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Roanoke, VA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1720307747. Details of each certification follow.
Hospice certification: CCN 491527
- Legal name
- GENTLE SHEPHERD HOSPICE INC.
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 17, 1995
- Last certification
- Jul 21, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Nov 21, 1994 in VA
- Enrollment address
- 6045 Peters Creek Rd
Roanoke, VA 24019-4029
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community Based Hospice Care Agency
- Roanoke, VA
- NPI 1346208337
O20041217000448
Care Compare: Hospice
Medicare Care Compare- Listed as
- Gentle Shepherd Hospice Inc
- Ownership
- For-Profit
- Certified
- May 17, 1995
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
154 Hansen Rd
Ste 202C
Charlottesville, VA 22911
Phone (434) 220-6002
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| John Bartow Olmsted | W-2 Managing Employee | Jul 15, 2021 | |
| Kim Eckenroth | 5% Or Greater Direct Ownership Interest | Nov 21, 1994 | 49% |
| Corporate Officer | Nov 21, 1994 | ||
| Corporate Director | Nov 21, 1994 | ||
| W-2 Managing Employee | Nov 21, 1994 | ||
| Carrie Rater | W-2 Managing Employee | Oct 21, 2025 | |
| Donald Eckenroth | 5% Or Greater Direct Ownership Interest | Nov 21, 1994 | 51% |
| Corporate Officer | Nov 21, 1994 | ||
| Corporate Director | Nov 21, 1994 | ||
| W-2 Managing Employee | Nov 21, 1994 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Nurse Practitioner
- Roanoke, VA
- NPI 1346788056
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
-
- Family Medicine Physician
- Lynchburg, VA
- NPI 1558359349
W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Nurse Practitioner
- Roanoke, VA
- NPI 1346788056
-
- Family Medicine Physician
- Lynchburg, VA
- NPI 1558359349
-
- Family Nurse Practitioner
- Roanoke, VA
- NPI 1114107513
Affiliated clinicians 12
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Lynchburg, VA
- NPI 1215185582
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275350400000",
"number": "1720307747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6045 PETERS CREEK RD",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240194029",
"telephone_number": "540-989-6265",
"fax_number": "540-989-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 HANSEN RD",
"address_2": "SUITE 202-C",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229118839",
"telephone_number": "434-220-6002",
"fax_number": "434-202-1365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENTLE SHEPHERD HOSPICE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-01",
"last_updated": "2010-06-01",
"status": "A",
"authorized_official_last_name": "ECKENROTH",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "540-989-6265",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "VA",
"license": "HSP-10172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4910133",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.