Organization Active NPI

Comfortbrook Hospice, LLC

  • Community Based Hospice Care Agency
  • Youngstown, OH
National Provider Identifier
1871019463
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
PROCESSING Issued in OH
Legal business name
COMFORTBROOK HOSPICE, LLC
Practice address
7206 Market St Ste C
Youngstown, OH 44512-4562
Phone
(330) 899-0180
Fax
(855) 824-8602
NPI assigned
Aug 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Anna-Gene O'Neal
Title
Ceo
Phone
(615) 430-2929

Specialties & licenses 1

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

Addresses

Primary practice location

7206 Market St Ste C
Youngstown, OH 44512-4562

Mailing address

103 Forrest Crossing Blvd Ste 101
Franklin, TN 37064-5454
Phone (615) 430-2929

Other identifiers 2

IdentifierTypeStateIssuer
0252HSPOtherOHSTATE OF OHIO HOSPICE LICENSE
0270328MedicaidOH

Other names 1

  • Grace Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171002002572 OH Part A Provider - Hospice 8022086909 Practice locations: Youngstown, OH

Hospice certification: CCN 361703

Legal name
COMFORTBROOK HOSPICE LLC
Doing business as
GRACE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 10, 2018
Last certification
Feb 10, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Aug 16, 2004 in OH
Enrollment address
7206 Market St
Ste C
Youngstown, OH 44512-4562

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Crossbridge HospiceCCN 361703
Ownership
For-Profit
Certified
Feb 10, 2018
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2030781Comfortbrook Hospice, LLC Dba Grace Hospice7206 Market Street, Ste C, Youngstown, OH 44512Certificate of waiverOct 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
Comfortbrook Hospice LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3515 Massillon Rd
Ste 270
Green, OH 44685

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Acp-Fow Hospice Midco, LLC Organization, Portland, ME LLC 5% Or Greater Indirect Ownership Interest May 23, 2025 100%
Acp-Fow Hospice Parent Holdings, LLC Organization, Portland, ME LLC 5% Or Greater Indirect Ownership Interest May 23, 2025 99%
Fow/Acp Capital, LLC Organization, Portland, ME LLC 5% Or Greater Indirect Ownership Interest May 23, 2025 96.5%
Fow Hospice Investor, LLC Organization, Portland, ME LLC 5% Or Greater Indirect Ownership Interest May 23, 2025 96.5%
Autumn Lopez Individual W-2 Managing EmployeeAd;Hospice Administrator Oct 16, 2023
Luis E Villaplana Individual Contracted Managing EmployeeMD; Jul 1, 2019
Scott Johnson Individual Corporate OfficerSecretary May 23, 2025
Operational/Managerial ControlSecretary May 23, 2025
Hospice Acquisition Company - Ohio, LLC Organization, Columbia, TN LLC 5% Or Greater Direct Ownership Interest May 23, 2025 100%
Hospice Acquisition Company, LLC Organization, Columbia, TN LLC 5% Or Greater Indirect Ownership Interest May 23, 2025 100%
Anna-Gene O'Neal Individual Corporate OfficerCeo May 23, 2025
Operational/Managerial ControlCeo May 23, 2025
Zachary Charles Drexler Individual Corporate OfficerTreasurer Sep 4, 2025
Acp-Fow Hospice Intermediate, LLC Organization, Portland, ME LLC 5% Or Greater Indirect Ownership Interest May 23, 2025 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1871019463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 FORREST CROSSING BLVD STE 101",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645454",
            "telephone_number": "615-430-2929",
            "fax_number": "855-618-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7206 MARKET ST STE C",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124562",
            "telephone_number": "330-899-0180",
            "fax_number": "855-824-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORTBROOK HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "ANNA-GENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-430-2929"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OH",
            "license": "PROCESSING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO HOSPICE LICENSE",
            "identifier": "0252HSP",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0270328",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.