Organization Active NPI

Echo Hospice of Cleveland, LLC

  • Community Based Hospice Care Agency
  • Independence, OH
National Provider Identifier
1871264978
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ECHO HOSPICE OF CLEVELAND, LLC
Practice address
6100 Rockside Woods Blvd N Ste 440
Independence, OH 44131-2255
Phone
(216) 400-9055
Fax
(216) 400-9115
NPI assigned
Sep 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Chris Lackner
Title
Member
Phone
(405) 412-4909

Specialties & licenses 1

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

Addresses

Primary practice location

6100 Rockside Woods Blvd N Ste 440
Independence, OH 44131-2255

Mailing address

7817 Ivanhoe Ave Ste 101
La Jolla, CA 92037-4541
Phone (918) 576-3070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211025003283 OH Part A Provider - Hospice 2769870716 Practice locations: Independence, OH

Hospice certification: CCN 361723

Legal name
ECHO HOSPICE OF CLEVELAND, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 23, 2022
Last certification
Nov 15, 2022
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Enrollment address
6100 Rockside Woods Blvd N
Ste 440
Independence, OH 44131-2255

Care Compare: Hospice

Medicare Care Compare
Listed as
Echo Hospice of Cleveland LLCCCN 361723
Certified
Sep 23, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

12680 High Bluff Dr
Ste 150
San Diego, CA 92130

7770 Brecksville Rd
Ste 4
Brecksville, OH 44141
Phone (216) 400-9055

6100 Rockside Woods Blvd N
Ste 440
Independence, OH 44131
Phone (216) 400-9055

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Harvey Bullock Individual W-2 Managing EmployeeExecutive Director Dec 1, 2023
Nicole R Smith Individual Operational/Managerial Control Jan 14, 2020
Christopher C Doyle Individual Corporate DirectorAdministrator/Coo Sep 23, 2022
Lake Tweed, Inc Organization, San Diego, CA Corporation 5% Or Greater Direct Ownership Interest Jan 14, 2020 100%
Christopher Lackner Individual Corporate Officer Jan 14, 2020 100%
Corporate Director Jan 14, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1871264978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7817 IVANHOE AVE STE 101",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374541",
            "telephone_number": "918-576-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 ROCKSIDE WOODS BLVD N STE 440",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312255",
            "telephone_number": "216-400-9055",
            "fax_number": "216-400-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHO HOSPICE OF CLEVELAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "LACKNER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "405-412-4909"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.