Organization Active NPI

Hopehealth Hospice & Palliative Care

  • Community Based Hospice Care Agency
  • Providence, RI
National Provider Identifier
1871674796
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HSP01620 Issued in RI
Legal business name
HOPEHEALTH HOSPICE & PALLIATIVE CARE
Practice address
1085 N Main St
Providence, RI 02904-5719
Phone
(401) 415-4230
Fax
(401) 223-2395
NPI assigned
Oct 18, 2006
Last updated
Aug 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Adozinda Kane
Title
Chief Financial Officer
Phone
(401) 415-4230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HSP01620 RI Primary

Addresses

Primary practice location

1085 N Main St
Providence, RI 02904-5719

Mailing address

1085 N Main St
Providence, RI 02904-5719
Phone (401) 415-4200

Other identifiers 4

IdentifierTypeStateIssuer
7200106OtherUNITED HEALTH PLAN
4107028MedicaidRI
58252OtherBLUE CROSS OF RI
CP003718OtherBLUE CHIP OF RI

Other names 1

  • Hope Hospice & Palliative Care RI Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050411000833 RI Part A Provider - Hospice 4587659255 Practice locations: Wakefield, RI; Providence, RI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871674796. Details of each certification follow.

Hospice certification: CCN 411500

Legal name
HOPEHEALTH HOSPICE & PALLIATIVE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 15, 1983
Last certification
Jun 17, 2011
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Mar 26, 1976 in RI
Enrollment address
1085 N Main St
Providence, RI 02904-5719

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Hopehealth Hospice & Palliative CareCCN 411500 · All quality measures
Ownership
Non-Profit
Certified
Dec 15, 1983
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Hopehealth Hospice Palliative Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1085 N Main St
Providence, RI 02904
Phone (401) 415-4200

Interoperability endpoints

  • Direct secure messaging: jenniferritzau@hopehealth.netsmartdirect.net

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Deborah J Cornwall Individual Corporate Director Aug 1, 2019
Kwame Dapaah Afriyie Individual Corporate Director Jan 1, 2023
Vincent Mor Individual Corporate OfficerChair Jan 1, 2023
Corporate Director Apr 1, 2016
Christopher J Marsella Individual Corporate Director Apr 1, 2016
Edward W Martin Individual W-2 Managing EmployeeMD;Chief Medical Officer Sep 2, 2008
Operational/Managerial ControlMedical Director Sep 2, 2008
Keith D Kelly Individual Corporate Director Apr 1, 2016
Mark R Young Individual Corporate Director Sep 1, 2021
Mark a Tracy Individual Corporate OfficerVice Chair Jan 1, 2023
Corporate Director Apr 1, 2016
Peter Karczmar Individual Corporate Director Apr 1, 2016
Paul J Stajduhar Individual Corporate Director Aug 1, 2019
Marcia Neiberg Individual Corporate Director Dec 6, 2023
Janet M Cooper-Nelson Individual Corporate Director Apr 1, 2016
Jeffrey Bradley Individual Corporate Director Sep 1, 2021
Stephen G Soscia Individual Corporate Director Apr 1, 2016
Michael Disandro Individual Corporate OfficerTreasurer Jan 1, 2023
Corporate Director Aug 1, 2019
Loretta Winde Individual W-2 Managing EmployeeChief Compliance Officer May 1, 2024
Carie Bailey Individual Corporate OfficerSecretary Jan 1, 2023
Corporate Director Sep 1, 2021
Stephanie Lee Individual W-2 Managing EmployeeSr Director Revenue Cycle May 1, 2024
Theresa Moore Individual Corporate Director Sep 1, 2021
Susan Desanto-Madeya Individual Corporate Director Jan 1, 2023
Kenneth E Arnold Individual Corporate Director Aug 1, 2019
Diana M. Franchitto Individual Corporate OfficerPresident & Ceo, Administrator Aug 1, 2008
Corporate DirectorPresident & Ceo, Administrator Aug 1, 2008
W-2 Managing EmployeeAd;Preisdent & Ceo Aug 1, 2008
Hopehealth Organization, Providence, RI Non-profit Operational/Managerial Control Feb 1, 2012
Ruth D Fain Individual Corporate Director Apr 1, 2016

Owners & managing parties with NPI records 3

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 168

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

View all 168

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1871674796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045719",
            "telephone_number": "401-415-4200",
            "fax_number": "401-312-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045719",
            "telephone_number": "401-415-4230",
            "fax_number": "401-223-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEHEALTH HOSPICE & PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "ADOZINDA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "401-415-4230"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "RI",
            "license": "HSP01620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH PLAN",
            "identifier": "7200106",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4107028",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF RI",
            "identifier": "58252",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP OF RI",
            "identifier": "CP003718",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Hospice & Palliative Care RI",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.