Organization Active NPI

Hope Hospice and Community Services Inc

  • Community Based Hospice Care Agency
  • Fort Myers, FL
National Provider Identifier
1790755932
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
5010096 Issued in FL
Legal business name
HOPE HOSPICE AND COMMUNITY SERVICES INC
Practice address
9470 Healthpark Cir
Fort Myers, FL 33908-3600
Phone
(239) 482-4673
Fax
(239) 482-7298
NPI assigned
Jan 23, 2006
Last updated
Jul 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Crystal Bucciarelli
Title
VP, Legal Services
Phone
(813) 871-8075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 5010096 FL Primary

Addresses

Primary practice location

9470 Healthpark Cir
Fort Myers, FL 33908-3600

Mailing address

9470 Healthpark Cir
Fort Myers, FL 33908-3600
Phone (239) 482-4673

Other identifiers 1

IdentifierTypeStateIssuer
087535000MedicaidFL

Other names 1

  • Hope of Southwest Florida, Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031201000035 FL Part B Supplier - Clinic/Group Practice 0941105308 Receives reassigned benefits from 47 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ft Myers, FL; Fort Myers, FL; Labelle, FL; Lehigh Acres, FL; Bonita Springs, FL; Cape Coral, FL; Clewiston, FL; Estero, FL
O20080430000719 FL Part A Provider - Hospice 0941105308 Practice locations: Bonita Springs, FL; Cape Coral, FL; Fort Myers, FL; Labelle, FL; Lehigh Acres, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790755932. Details of each certification follow.

Hospice certification: CCN 101516

Legal name
HOPE HOSPICE AND COMMUNITY SERVICES, INC
Doing business as
HOPE COMFORT CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 7, 1984
Last certification
Aug 3, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 15, 1981 in FL
Enrollment address
9470 Healthpark Cir
Fort Myers, FL 33908-3600

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Hope Hospice and Community Services IncCCN 101516 · All quality measures
Ownership
For-Profit
Certified
Dec 7, 1984
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
H Timothy Havlerson Individual Corporate Director Aug 11, 1994
Jill Lampley Individual Corporate Director Aug 11, 1994
Thomas Giles Individual Corporate Director Aug 11, 1994
Samira Beckwith Individual W-2 Managing Employee Aug 11, 1994
Denise Anderson Individual W-2 Managing EmployeeAd; Jan 21, 2025
Charles Idelson Individual Corporate Director Aug 11, 1994
Crystal Bucciarelli Individual Contracted Managing Employee Mar 1, 2023
Corporate DirectorVP of Legal Services Mar 1, 2023
Susan E Krieger Individual W-2 Managing EmployeeMD; Jan 9, 2025

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": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1790755932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 HEALTHPARK CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083600",
            "telephone_number": "239-482-4673",
            "fax_number": "239-482-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 HEALTHPARK CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083600",
            "telephone_number": "239-482-4673",
            "fax_number": "239-482-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HOSPICE AND COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "BUCCIARELLI",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "VP, LEGAL SERVICES",
        "authorized_official_telephone_number": "813-871-8075"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "FL",
            "license": "5010096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087535000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope of Southwest Florida, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.