NPIMap

Organization Active NPI

Hospice of the Valley, Inc.

  • Community Based Hospice Care Agency
  • Girard, OH
National Provider Identifier
1750315396
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0056HSP Issued in OH
Legal business name
HOSPICE OF THE VALLEY, INC.
Practice address
979 Tibbetts Wick Rd Ste a
Girard, OH 44420-1182
Phone
(330) 788-1992
NPI assigned
Jul 10, 2006
Last updated
Apr 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Kimberly M Ralston
Title
Sys Dir Payor Admin
Phone
(419) 996-5119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0056HSP OH Primary

Addresses

Primary practice location

979 Tibbetts Wick Rd Ste a
Girard, OH 44420-1182

Mailing address

979 Tibbetts Wick Rd Ste a
Girard, OH 44420-1182
Phone (330) 788-1992

Other practice location 1

9803 Sharrott Rd
Poland, OH 44514-3517
Phone (330) 549-5850

Other identifiers 1

IdentifierTypeStateIssuer
0820213MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Member of 1

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

Member organizations 12

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

Locations

5190 Market St
Youngstown, OH 44512
Phone (330) 788-1992

9803 Sharrott Rd
Youngstown, OH 44514
Phone (330) 549-5850

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Apr 23, 2024 Change of OwnershipThis provider was the seller Hospice of the Valley IncCCN 361538, OH, NPI 1053139915

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1750315396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 TIBBETTS WICK RD STE A",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201182",
            "telephone_number": "330-788-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 TIBBETTS WICK RD STE A",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201182",
            "telephone_number": "330-788-1992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9803 Sharrott Rd",
            "address_purpose": "LOCATION",
            "city": "Poland",
            "state": "OH",
            "postal_code": "445143517",
            "country_code": "US",
            "telephone_number": "330-549-5850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOSPICE OF THE VALLEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SYS DIR PAYOR ADMIN",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OH",
            "license": "0056HSP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0820213",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Girard, OH

Sources for this page

Verify at the official NPI Registry.