Maryview Hospital, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

0405-15 Issued in VA

Legal business name

MARYVIEW HOSPITAL, LLC

Doing business as

Bon Secours Hospice

Practice address

7007 Harbour View Blvd Ste 114
Suffolk, VA 23435-3657

Phone

(757) 391-6017

Fax

(757) 397-6457

NPI assigned

Jun 9, 2005

Organization subpart

No

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

Authorized official

Name

Kimberly M Ralston

Title

VP Reimbursement

Phone

(419) 996-5119

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BON SECOURS HOSPICE Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

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

• Compassus BSMH Hampton Roads Hospice LLC

  dba Bon Secours Hospice by Compassus

  • Community Based Hospice Care Agency
  • Suffolk, VA
  • NPI 1770301418

  Sold to, 2024-04-23

  CMS change of ownership

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1770587610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639898",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639898",
            "telephone_number": "513-952-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 HARBOUR VIEW BLVD STE 114",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353657",
            "telephone_number": "757-391-6017",
            "fax_number": "757-397-6457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 Denbigh Blvd Ste B2",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236084414",
            "country_code": "US",
            "telephone_number": "757-391-6017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYVIEW HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP REIMBURSEMENT",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "VA",
            "license": "0405-15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004915038",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BON SECOURS HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryview Hospital LLC (Internists of Churchland)
• Maryview Hospital LLC (Nansemond Suffolk Family Practice)
• Maryview Hospital LLC (Harbour View Family Practice)
• Maryview Hospital LLC (Bon Secours Oncology Specialists)
• Maryview Hospital, LLC (Bon Secours Home Care)
• Jessica Anne Mason, M.D.
• Michele Mason
• Monica Lavern Mason, LCSW
• Jennifer Massa
• Karen Massey, LPC

• Community Based Hospice Care Agency in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Community Based Hospice Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.

Verify at the official NPI Registry.