Active NPI
Echo Hospice of Cleveland, LLC
- Community Based Hospice Care Agency
- Independence, OH
National Provider Identifier
1871264978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Certified
- Sep 23, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Harvey Bullock | W-2 Managing Employee | Dec 1, 2023 | |
| Nicole R Smith | Operational/Managerial Control | Jan 14, 2020 | |
| Christopher C Doyle | Corporate Director | Sep 23, 2022 | |
| Lake Tweed, Inc | 5% Or Greater Direct Ownership Interest | Jan 14, 2020 | 100% |
| Christopher Lackner | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.