Active NPI
Pathways Hospice LLC
- Community Based Hospice Care Agency
- Berea, OH
National Provider Identifier
1760827042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 251G00000X
- Legal business name
- PATHWAYS HOSPICE LLC
- Practice address
- 885 W. Bagley Road
Berea, OH 44017 - Phone
- (440) 835-2220
- Fax
- (440) 835-2224
- NPI assigned
- May 1, 2013
- Last updated
- Jun 16, 2015
- 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
- David Glen Noggle
- Title
- President / Ceo
- Phone
- (440) 835-2220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 251G00000X | OH | Primary |
Addresses
Primary practice location
885 W. Bagley Road
Berea, OH 44017
Mailing address
885 W. Bagley Road
Berea, OH 44017
Phone (440) 835-2220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
885 W Bagley Rd
Berea, OH 44017
Phone (440) 835-2220
24803 Detroit Rd
Ste D
Westlake, OH 44145
Phone (440) 835-2220
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Mar 23, 2018 | Change of Ownership | Pathways Hospice and Palliative Care |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Amedisys Hospice
- Community Based Hospice Care Agency
- Berea, OH
- NPI 1174010581
Sold to, 2018-03-23
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434412800000",
"number": "1760827042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 W. BAGLEY ROAD",
"city": "BEREA",
"state": "OH",
"postal_code": "44017",
"telephone_number": "440-835-2220",
"fax_number": "440-835-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 W. BAGLEY ROAD",
"city": "BEREA",
"state": "OH",
"postal_code": "44017",
"telephone_number": "440-835-2220",
"fax_number": "440-835-2224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAYS HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-01",
"last_updated": "2015-06-16",
"status": "A",
"authorized_official_last_name": "NOGGLE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "GLEN",
"authorized_official_title_or_position": "PRESIDENT / CEO",
"authorized_official_telephone_number": "440-835-2220"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "OH",
"license": "251G00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berea, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.