Active NPI
Hopehealth Hospice & Palliative Care
- Community Based Hospice Care Agency
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- HSP01620
- 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, 2019
- 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
- Adozinda Kane
- Title
- Chief Financial Officer
- Phone
- (401) 415-4230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7200106 | Other | UNITED HEALTH PLAN | |
| 4107028 | Medicaid | RI | |
| 58252 | Other | BLUE CROSS OF RI | |
| CP003718 | Other | BLUE CHIP OF RI |
Other names 1
- Hope Hospice & Palliative Care RI
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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).
-
- Case Management Agency
- Providence, RI
- NPI 1790851590
4587659255
-
- General Practice Physician
- Brockton, MA
- NPI 1720405988
4587659255
-
- Community Based Hospice Care Agency
- Attleboro, MA
- NPI 1861425688
4587659255
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hopehealth Hospice & Palliative Care
- Ownership
- Non-Profit
- Certified
- Dec 15, 1983
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Hopehealth Hospice Palliative Care
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Brockton, MA
- NPI 1720405988
-
- Community Based Hospice Care Agency
- Attleboro, MA
- NPI 1861425688
Locations
1085 N Main St
Providence, RI 02904
Phone (401) 415-4200
Interoperability endpoints
- 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Deborah J Cornwall | Corporate Director | Aug 1, 2019 | |
| Kwame Dapaah Afriyie | Corporate Director | Jan 1, 2023 | |
| Vincent Mor | Corporate Officer | Jan 1, 2023 | |
| Corporate Director | Apr 1, 2016 | ||
| Christopher J Marsella | Corporate Director | Apr 1, 2016 | |
| Edward W Martin | W-2 Managing Employee | Sep 2, 2008 | |
| Operational/Managerial Control | Sep 2, 2008 | ||
| Keith D Kelly | Corporate Director | Apr 1, 2016 | |
| Mark R Young | Corporate Director | Sep 1, 2021 | |
| Mark a Tracy | Corporate Officer | Jan 1, 2023 | |
| Corporate Director | Apr 1, 2016 | ||
| Peter Karczmar | Corporate Director | Apr 1, 2016 | |
| Paul J Stajduhar | Corporate Director | Aug 1, 2019 | |
| Marcia Neiberg | Corporate Director | Dec 6, 2023 | |
| Janet M Cooper-Nelson | Corporate Director | Apr 1, 2016 | |
| Jeffrey Bradley | Corporate Director | Sep 1, 2021 | |
| Stephen G Soscia | Corporate Director | Apr 1, 2016 | |
| Michael Disandro | Corporate Officer | Jan 1, 2023 | |
| Corporate Director | Aug 1, 2019 | ||
| Loretta Winde | W-2 Managing Employee | May 1, 2024 | |
| Carie Bailey | Corporate Officer | Jan 1, 2023 | |
| Corporate Director | Sep 1, 2021 | ||
| Stephanie Lee | W-2 Managing Employee | May 1, 2024 | |
| Theresa Moore | Corporate Director | Sep 1, 2021 | |
| Susan Desanto-Madeya | Corporate Director | Jan 1, 2023 | |
| Kenneth E Arnold | Corporate Director | Aug 1, 2019 | |
| Diana M. Franchitto | Corporate Officer | Aug 1, 2008 | |
| Corporate Director | Aug 1, 2008 | ||
| W-2 Managing Employee | Aug 1, 2008 | ||
| Hopehealth | Operational/Managerial Control | Feb 1, 2012 | |
| Ruth D Fain | 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.
-
- Internal Medicine Physician
- Providence, RI
- NPI 1053399105
Corporate Director
-
- Geriatric Medicine (Internal Medicine) Physician
- Pawtucket, RI
- NPI 1194715060
Operational/Managerial Control, W-2 Managing Employee
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Attleboro, MA
- NPI 1861425688
Hopehealth
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Providence, RI
- NPI 1508863432
Affiliated clinicians 168
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": "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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.