Patriot Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PATRIOT HOSPICE, INC

Practice address

986 Tibbetts Wick Rd
Girard, OH 44420-1138

Phone

(330) 306-9651

NPI assigned

Sep 30, 2021

Last updated

Sep 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Davis, RN

Title

Owner

Phone

(330) 306-9651

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841962537. Details of each certification follow.

• CCN 361728 Hospice · Active · Details

Hospice certification: CCN 361728

Legal name

PATRIOT HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 17, 2022

Last certification

Nov 10, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Sep 15, 2021 in OH

Enrollment address

986 Tibbetts Wick Rd
Ste 2
Girard, OH 44420-1138

Listed as

Patriot Hospice IncCCN 361728 · All quality measures

Certified

Nov 17, 2022

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 2

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

• Sean Davis, PT

  • Physical Therapist
  • Girard, OH
  • NPI 1902611270

  5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

  CMS ownership
• Holly J Maggiano, MD

  • Neurology Physician
  • Warren, OH
  • NPI 1104898493

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jeffrey R Cohen, D.O.

  • Family Medicine Physician
  • East Palestine, OH
  • NPI 1447259353

  Hospice

  Care Compare affiliation
• Holly J Maggiano, MD

  • Neurology Physician
  • Warren, OH
  • NPI 1104898493

  Hospice

  Care Compare affiliation
• Zachary F Veres, DO

  • Family Medicine Physician
  • Warren, OH
  • NPI 1285619239

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1841962537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 TIBBETTS WICK RD",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201138",
            "telephone_number": "330-306-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 TIBBETTS WICK RD",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201138",
            "telephone_number": "330-306-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-306-9651",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Girard, OH
• Providers in Girard, OH by specialty
• Community Based Hospice Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.