NPIMap

Organization Active NPI

Ohio Living Holdings

  • Community Based Hospice Care Agency
  • Toledo, OH
National Provider Identifier
1962890848
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
OHIO LIVING HOLDINGS
Practice address
1730 S Reynolds Rd
Toledo, OH 43614-1402
Phone
(419) 865-1499
Fax
(419) 865-4227
NPI assigned
Dec 31, 2014
Organization subpart
Yes
Parent organization
OHIO LIVING HOLDINGSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Robert B Stillman
Title
Chief Financial Officer
Phone
(614) 888-7800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0239HSP OH
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1730 S Reynolds Rd
Toledo, OH 43614-1402

Mailing address

9200 Worthington Rd Ste 300
Westerville, OH 43082-7240
Phone (419) 865-1499

Other names 1

  • Ohio Living Hospice Greater Toledo Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150427002579 OH Part A Provider - Hospice 8729111471 Practice locations: Toledo, OH

Hospice certification: CCN 361697

Legal name
OHIO LIVING HOLDINGS
Doing business as
OHIO LIVING HOSPICE GREATER TOLEDO
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 7, 2016
Last certification
Sep 7, 2016
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
May 19, 2010 in OH
Enrollment address
1730 S Reynolds Rd
Toledo, OH 43614-1402

All disclosed owners & managing parties 10

Medicare enrollment files

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

NameRoleSinceShare
Barbara Roshon Individual Corporate DirectorBoard Member Jul 1, 2020
Laurence C Gumina Individual Corporate OfficerChief Executive Officer May 15, 2017 100%
Operational/Managerial ControlChief Executive Officer Dec 28, 2011 100%
Raafat Zaki Individual Corporate DirectorBoard Member Jul 1, 2020
Paul M Flannery Individual Corporate DirectorBoard Member May 15, 2017
Christine Smith Individual W-2 Managing EmployeeExecutive Director Aug 8, 2022
Robert B Stillman Individual Corporate OfficerChief Financial Officer Apr 15, 2018
Kevin L Futryk Individual Corporate DirectorBoard Member Jul 1, 2018
William P Saunders Individual Contracted Managing EmployeeMedical Director Feb 20, 2020
Ohio Living Organization, Westerville, OH Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2016 100%
Operational/Managerial Control Nov 1, 2016 100%
Ohio Living Holdings Organization, Westerville, OH Operational/Managerial Control Jul 1, 2010

All facility ownership & control disclosures 5

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ohio Living Home Health Greater AkronFairlawn, OH, CCN 367547 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 1, 2016
Nov 1, 2016
Ohio Living Home Health Greater ClevelandWilloughby, OH, CCN 367564 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 10, 2010
Ohio Living Home Health Greater ColumbusWesterville, OH, CCN 367553 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 1, 2016
Nov 1, 2016
Ohio Living HoldingsFairlawn, OH, CCN 361695 Hospice Operational/Managerial Control (100%) Dec 28, 2011
Ohio Living Hospice Greater ColumbusWesterville, OH, CCN 361632 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2016

National Provider Directory

National Provider Directory
Part of
Ohio Living Holdings

Locations

1730 S Reynolds Rd
Toledo, OH 43614
Phone (419) 701-9809

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Owners & managing parties with NPI records 11

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

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 11

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

Facilities with the same owner 8

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

Affiliated clinicians 5

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Ohio Living Hospice - Greater ToledoCCN 361697
Ownership
Non-Profit
Certified
Sep 7, 2016
Medicare certification status
ActiveFrom the Provider of Services file

NPI Registry JSON

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1962890848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 WORTHINGTON RD STE 300",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827240",
            "telephone_number": "419-865-1499",
            "fax_number": "419-865-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 S REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141402",
            "telephone_number": "419-865-1499",
            "fax_number": "419-865-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO LIVING HOLDINGS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO LIVING HOLDINGS",
        "enumeration_date": "2014-12-31",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "STILLMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "614-888-7800"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OH",
            "license": "0239HSP",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohio Living Hospice Greater Toledo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ohio Living Hospice Greater Toledo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.