Active NPI
Comfortbrook Hospice, LLC
- Community Based Hospice Care Agency
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- PROCESSING
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0252HSP | Other | OH | STATE OF OHIO HOSPICE LICENSE |
| 0270328 | Medicaid | OH |
Other names 1
- Grace Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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).
-
- Community Based Hospice Care Agency
- Cincinnati, OH
- NPI 1205352051
8022086909
Care Compare: Hospice
Medicare Care Compare- Listed as
- Crossbridge Hospice
- Ownership
- For-Profit
- Certified
- Feb 10, 2018
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2030781 | Comfortbrook Hospice, LLC Dba Grace Hospice | Certificate of waiver | Oct 4, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Comfortbrook Hospice LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Cincinnati, OH
- NPI 1205352051
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Acp-Fow Hospice Midco, LLC | 5% Or Greater Indirect Ownership Interest | May 23, 2025 | 100% |
| Acp-Fow Hospice Parent Holdings, LLC | 5% Or Greater Indirect Ownership Interest | May 23, 2025 | 99% |
| Fow/Acp Capital, LLC | 5% Or Greater Indirect Ownership Interest | May 23, 2025 | 96.5% |
| Fow Hospice Investor, LLC | 5% Or Greater Indirect Ownership Interest | May 23, 2025 | 96.5% |
| Autumn Lopez | W-2 Managing Employee | Oct 16, 2023 | |
| Luis E Villaplana | Contracted Managing Employee | Jul 1, 2019 | |
| Scott Johnson | Corporate Officer | May 23, 2025 | |
| Operational/Managerial Control | May 23, 2025 | ||
| Hospice Acquisition Company - Ohio, LLC | 5% Or Greater Direct Ownership Interest | May 23, 2025 | 100% |
| Hospice Acquisition Company, LLC | 5% Or Greater Indirect Ownership Interest | May 23, 2025 | 100% |
| Anna-Gene O'Neal | Corporate Officer | May 23, 2025 | |
| Operational/Managerial Control | May 23, 2025 | ||
| Zachary Charles Drexler | Corporate Officer | Sep 4, 2025 | |
| Acp-Fow Hospice Intermediate, 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.
-
- Internal Medicine Physician
- Salem, OH
- NPI 1992766638
Contracted Managing Employee
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Cincinnati, OH
- NPI 1205352051
Acp-Fow Hospice Intermediate, LLC, Acp-Fow Hospice Midco, LLC, Acp-Fow Hospice Parent Holdings, LLC, Fow Hospice Investor, LLC, Fow/Acp Capital, LLC, Hospice Acquisition Company - Ohio, LLC, Hospice Acquisition Company, LLC
-
- Community Based Hospice Care Agency
- Irving, TX
- NPI 1043499684
Acp-Fow Hospice Intermediate, LLC, Acp-Fow Hospice Midco, LLC, Acp-Fow Hospice Parent Holdings, LLC, Fow Hospice Investor, LLC, Fow/Acp Capital, LLC
-
- Community Based Hospice Care Agency
- Kentwood, MI
- NPI 1720377906
Acp-Fow Hospice Intermediate, LLC, Acp-Fow Hospice Midco, LLC, Acp-Fow Hospice Parent Holdings, LLC, Fow Hospice Investor, LLC, Fow/Acp Capital, LLC, Hospice Acquisition Company, LLC
-
- Community Based Hospice Care Agency
- Troy, MI
- NPI 1952456857
Acp-Fow Hospice Intermediate, LLC, Acp-Fow Hospice Midco, LLC, Acp-Fow Hospice Parent Holdings, LLC, Fow Hospice Investor, LLC, Fow/Acp Capital, LLC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.