Organization Active NPI

Echo Hospice of Pennsylvania, LLC

  • Community Based Hospice Care Agency
  • Philadelphia, PA
National Provider Identifier
1740867829
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ECHO HOSPICE OF PENNSYLVANIA, LLC
Practice address
421 N 7TH St Ste 602
Philadelphia, PA 19123-3926
Phone
(267) 551-5708
Fax
(267) 668-2148
NPI assigned
Mar 25, 2021
Last updated
Jan 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Christopher Lackner
Title
Manager
Phone
(405) 412-4909

Specialties & licenses 1

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

Addresses

Primary practice location

421 N 7TH St Ste 602
Philadelphia, PA 19123-3926

Mailing address

7817 Ivanhoe Ave Ste 101
La Jolla, CA 92037-4541
Phone (918) 576-3070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210510000144 PA Part A Provider - Hospice 2668881301 Practice locations: Philadelphia, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740867829. Details of each certification follow.

Hospice certification: CCN 391799

Legal name
ECHO HOSPICE OF PENNSYLVANIA, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 13, 2022
Last certification
Jan 13, 2022
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Jan 14, 2020 in NV
Enrollment address
421 N 7TH St
Ste 602
Philadelphia, PA 19123-3926

Care Compare: Hospice

Medicare Care Compare
Listed as
Echo Hospice of Pennsylvania, LLCCCN 391799 · All quality measures
Ownership
For-Profit
Certified
Jan 13, 2022
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
39D2237402Echo Hospice of Pennsylvania, LLC421 N 7TH St, Ste 602, Philadelphia, PA 19123Certificate of waiverSep 23, 2027

National Provider Directory

National Provider Directory

Locations

4655 Executive Dr
Ste 350
San Diego, CA 92121

417 N 8th St
Ste 400
Philadelphia, PA 19123
Phone (267) 551-5708

421 N 7th St
Ste 602
Philadelphia, PA 19123
Phone (267) 551-5708

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Nicole R Smith Individual Corporate DirectorRegional VP Jan 14, 2020
Operational/Managerial ControlRegional VP Jan 14, 2020
Christopher C Doyle Individual Corporate OfficerGoverning Body Member Aug 7, 2024
Tracy McRaven Individual W-2 Managing EmployeeAd; Jun 14, 2024 100%
Christopher Lackner Individual Corporate OfficerPresident Jan 14, 2020
Corporate DirectorGoverning Body Member Jan 14, 2020
Larry S Keller Individual Contracted Managing EmployeeMD; Jul 1, 2021
Tricia Lynn Arredondo Individual Corporate OfficerGoverning Body Member Jan 3, 2024
Lake Ness, Inc Organization, San Diego, CA Corporation, For-profit 5% Or Greater Direct Ownership Interest Jan 14, 2020 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1740867829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7817 IVANHOE AVE STE 101",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374541",
            "telephone_number": "918-576-3070",
            "fax_number": "918-516-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N 7TH ST STE 602",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233926",
            "telephone_number": "267-551-5708",
            "fax_number": "267-668-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHO HOSPICE OF PENNSYLVANIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "LACKNER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-412-4909"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.