PROMEDICA HOSPICE (ROANOKE)
NPI 1629470745
Hospice Care, Community Based in Roanoke, VA

NPI Status: Active since September 19, 2014

Contact Information

2840 ELECTRIC RD STE 106A
ROANOKE, VA
ZIP 24018
Phone: (540) 725-7600
Fax: (877) 385-9446

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  • Organization
  • Hospice Care, Community Based
  • CLIA Number: 49D2097359
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 06-14-2027

About PROMEDICA HOSPICE (ROANOKE)

This page provides the complete NPI Profile along with additional information for Promedica Hospice (roanoke), a provider established in Roanoke, Virginia operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1629470745 assigned on September 2014. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Promedica Hospice (roanoke) operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Promedica Hospice (roanoke). The authorized official of this NPI record is Martin D Allen (Director)

NPI
1629470745
Provider Legal Name
HEARTLAND HOME CARE, LLC
Other Organization Name
PROMEDICA HOSPICE (ROANOKE)
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2840 ELECTRIC RD STE 106A ROANOKE, VA 24018
Location Phone
(540) 725-7600
Location Fax
(877) 385-9446
Mailing Address
333 N SUMMIT ST LICENSURE SUPPORT TOLEDO, OH 43604
Mailing Phone
(419) 252-5500
Mailing Fax
(877) 385-9446
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-19-2014
Last Update Date
04-14-2022
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According to the Hospice Quality Reporting Program (HQRP) data this facility is for-profit and was certified on 10-09-2015 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RH0002XAllopathic & Osteopathic Physicians

Internal Medicine
Hospice and Palliative Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARTIN D ALLEN

Authorized Official Title
DIRECTOR
Authorized Official Phone
(419) 252-5500

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1629470745MEDICAID (05)VA 

Hospice Care Information

The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.

CMS Certification Number (CCN)491617
Ownership TypeFor-Profit
Medicare Certification Date10-09-2015
Quality Measure Measure Score
Average Daily Census
Number of patients cared for by a hospice on average each day
129.0
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year
1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage
Yes
Hospice served at least 1 patient enrolled in Medicare Advantage during one year
1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage
Yes
Care Provided in Assisted Living Facility
Percentage of days patients received care in an assisted living facility
26
Care Provided in Home
Percentage of days patients received care in home
58
Care Provided in Inpatient Hospice Facility
Percentage of days patients received care in an inpatient hospice
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Inpatient Hospital Facility
Percentage of days patients received care in an inpatient hospital
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Nursing Facility
Percentage of days patients received care in a nursing facility
13
Care Provided in All other locations
Percentage of days patients received care in other locations
2
Care Provided in Skilled Nursing Facility
Percentage of days patients received care in a skilled nursing facility
1
Hospice and Palliative Care Treatment Preferences
Facility observed rate
100.0
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
99.7
Hospice and Palliative Care Pain Screening
Facility observed rate
98.7
Hospice and Palliative Care Pain Assessment
Facility observed rate
100.0
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
99.7
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
100.0
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
100.0
Hospice and Palliative Care Composite Process Measure
Facility observed rate
98.5
Hospice Visits in the Last Days of Life
284
Hospice Visits in the Last Days of Life
Facility observed rate
65.1
Hospice Care Index Overall Score
Facility observed rate
8.0
CHC/GIP provided (% days)
97,973
CHC/GIP provided (% days)
Facility observed rate
0.7
CHC/GIP provided (% days)
85
Gaps in nursing visits (% elections)
462
Gaps in nursing visits (% elections)
Facility observed rate
62.1
Gaps in nursing visits (% elections)
61
Early live discharges (% live discharges)
271
Early live discharges (% live discharges)
Facility observed rate
5.9
Early live discharges (% live discharges)
50
Late live discharges (% live discharges)
271
Late live discharges (% live discharges)
Facility observed rate
50.9
Late live discharges (% live discharges)
79
Burdensome transitions, Type 1(% live discharges)
271
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
19.9
Burdensome transitions, Type 1 (% live discharges)
94
Burdensome transitions, Type 2(% live discharges)
271
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
6.3
Burdensome transitions, Type 2 (% live discharges)
93
Per-beneficiary spending (U.S. dollars $)
772
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
20,123
Per-beneficiary spending (U.S. dollars $)
69
Nurse care minutes per routine home care days (minutes)
96,950
Nurse care minutes per routine home care days (minutes)
Facility observed rate
10.2
Nurse care minutes per routine home care days (minutes)
26
Skilled nursing minutes on weekends (% minutes)
992,205
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
8.0
Skilled nursing minutes on weekends (% minutes)
50
Visits near death (% decedents)
520
Visits near death (% decedents)
Facility observed rate
94.0
Visits near death (% decedents)
55
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
11
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
18
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
10
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
4
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
10
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
37
Provided Routine Home Care and other levels of care
Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level
Yes
Provided Routine Home Care only
The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level
No

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2097359
Facility Type
Hospice
Certificate Effective Date
June 15, 2025
Certificate Expiration Date
June 14, 2027
Laboratory Director
SELECE BEASLEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Promedica Hospice (roanoke) to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PROMEDICA HOSPICE (ROANOKE)

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629470745, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
4
Doubled → 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 4 → 8 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 8 + 7 + 0 + 7 + 8 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1629470745.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Internal Medicine (Hospice and Palliative Medicine)
2840 ELECTRIC RD STE 106A
ROANOKE, VA 24018

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629470745, enumerated as an "organization" on September 19, 2014.

The provider is located at 2840 ELECTRIC RD STE 106A ROANOKE, VA 24018 and the phone number is (540) 725-7600.

Hospice Care, Community Based with taxonomy code 251G00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.