Remembrance Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

REMEMBRANCE HOSPICE LLC

Practice address

3725 Medina Rd Ste 113
Medina, OH 44256-5301

Phone

(330) 952-1930

NPI assigned

Nov 7, 2022

Organization subpart

No

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

Authorized official

Name

Alisha Thoburn

Title

Business Operations Analyst

Phone

(330) 416-7307

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Hospice certification: CCN 361729

Legal name

REMEMBRANCE HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 10, 2023

Last certification

Apr 27, 2023

Organization structure

LLCProprietary

Incorporated

Oct 4, 2022 in DE

Enrollment address

3725 Medina Rd
Ste 113
Medina, OH 44256-5301

Listed as

Remembrance Hospice MedinaCCN 361729 · All quality measures

Certified

May 10, 2023

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

Locations

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.

Owners & managing parties with NPI records 2

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

• Benson S. Bonyo, D.O.

  • Family Medicine Physician
  • Akron, OH
  • NPI 1386725125

  Contracted Managing Employee

  CMS ownership
• Sushil Kumar Jain, MD

  • Internal Medicine Physician
  • Medina, OH
  • NPI 1538147152

  Contracted Managing Employee

  CMS ownership

Practitioners 2

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

• Rhonda L Mickna, MSN, AGNP-C

  • Gerontology Nurse Practitioner
  • Wooster, OH
  • NPI 1801289012
  NPD
• Benson S. Bonyo, D.O.

  • Family Medicine Physician
  • Akron, OH
  • NPI 1386725125
  NPD (past)

Affiliated clinicians 2

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

• Benson S. Bonyo, D.O.

  • Family Medicine Physician
  • Akron, OH
  • NPI 1386725125

  Hospice

  Care Compare affiliation
• Sushil Kumar Jain, MD

  • Internal Medicine Physician
  • Medina, OH
  • NPI 1538147152

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1972211290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 MEDINA RD STE 113",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565301",
            "telephone_number": "330-952-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 MEDINA RD STE 113",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565301",
            "telephone_number": "330-952-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEMBRANCE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "THOBURN",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS ANALYST",
        "authorized_official_telephone_number": "330-416-7307"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dnoggle@ayaenterprises.com",
            "affiliation": "N",
            "endpointDescription": "owner email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3725 Medina Rd Ste 113",
            "city": "Medina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442565301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tnagel@remembrancehospice.com",
            "affiliation": "N",
            "endpointDescription": "Clinical Director Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3725 Medina Rd Ste 113",
            "city": "Medina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442565301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Monica Ross Reider, EDD,LPCC-S,NCC,CRC
• David Alan Reiman
• Andrew Reinhart
• Brent Reitz, LSW
• Victoria Alexis Reljin, DPT
• Renuvision, Inc.
• Karen Thompson Repas, MBA, OTR/L
• Blythe Rettos, CT
• Allison Marie Reusch, PT
• Nancy B Rex, PH.D.

• Community Based Hospice Care Agency in Medina, OH
• Providers in Medina, 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 Mar 27, 2024; 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.