Spirit Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SPIRIT HOSPICE LLC

Practice address

8849 Brookside Ave Ste 101
West Chester, OH 45069-7114

Phone

(513) 772-0575

Fax

(513) 772-0117

NPI assigned

May 20, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Sajjad Ashraf Khan, PTNPI 1083821235

Title

President

Phone

(513) 772-0575

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Hospice certification: CCN 361709

Legal name

SPIRIT HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 6, 2021

Last certification

Jan 6, 2021

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Incorporated

Feb 22, 2019 in OH

Enrollment address

8849 Brookside Ave
Ste 101
West Chester, OH 45069-7114

Listed as

Spirit Hospice LLCCCN 361709

Ownership

For-Profit

Certified

Jan 6, 2021

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 1

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sajjad A Khan, P.T.

  • Physical Therapist
  • West Chester, OH
  • NPI 1083821235
  NPD Authorized official
• Catherine Jean Flem, NP

  • Family Nurse Practitioner
  • Hamilton, OH
  • NPI 1699388942
  NPD (past)

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1881217271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8849 BROOKSIDE AVE STE 101",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450697114",
            "telephone_number": "513-772-0575",
            "fax_number": "513-772-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8849 BROOKSIDE AVE STE 101",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450697114",
            "telephone_number": "513-772-0575",
            "fax_number": "513-772-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SAJJAD",
        "authorized_official_middle_name": "ASHRAF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-772-0575",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Ohio Pain Institute, Inc
• Li Sparks, L AU
• Tonya Dawn Spencer, LMT
• Scott M Spille, PHARM.D
• Spirit Homecare Inc.
• Sidney Sponseller, PT, DPT
• Patricia Ann Springer, R.N., B.S.N., M.A.
• Springs Healthcare Services, LLC
• Emily Spuhler
• Barry E Staley, M.D.

• Community Based Hospice Care Agency in West Chester, OH
• Providers in West Chester, OH by specialty
• Community Based Hospice Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.

Verify at the official NPI Registry.