TRANSITIONS HOSPICECARE
NPI 1518974609
Hospice Care, Community Based in Raleigh, NC
NPI Status: Active since August 02, 2006
Contact Information
250 HOSPICE CIRCLE
RALEIGH, NC
ZIP 27607
Phone: (919) 828-0890
Fax: (919) 719-0395
- Organization
- Hospice Care, Community Based
- Accepts Insurance
About TRANSITIONS HOSPICECARE
This page provides the complete NPI Profile along with additional information for Transitions Hospicecare, a provider established in Raleigh, North Carolina operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1518974609 assigned on August 2006. The practitioner's primary taxonomy code is 251G00000X with license number HOS1595 (NC). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Transitions Hospicecare. The authorized official of this NPI record is Toni Messler (Vp Of Finance And Operations)
- NPI
- 1518974609
- Provider Legal Name
- HOSPICE OF WAKE COUNTY, INC.
- Other Organization Name
- TRANSITIONS HOSPICECARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 250 HOSPICE CIRCLE RALEIGH, NC 27607
- Location Phone
- (919) 828-0890
- Location Fax
- (919) 719-0395
- Mailing Address
- 250 HOSPICE CIRCLE RALEIGH, NC 27607
- Mailing Phone
- (919) 828-0890
- Mailing Fax
- (919) 719-0395
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-02-2006
- Last Update Date
- 04-25-2014
- Code Navigator
According to the Hospice Quality Reporting Program (HQRP) data this facility is non-profit and was certified on 12-07-1987 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
- License No.
- HOS1595
- License State
- NC
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Bronze with Atrium Health - HMO
- Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Focused Silver with Atrium Health - HMO
- Focused Silver with Atrium Health + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health - EPO
- Blue Local Bronze Complete | $60 PCP | $20 Tier 1 Rx | with Atrium Health - EPO
- Blue Local Bronze Standard | with Atrium Health - EPO
- Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health - EPO
- Blue Local Gold Standard | with Atrium Health - EPO
- Blue Local Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health - EPO
- Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health - EPO
- Blue Local Silver Standard | with Atrium Health - EPO
- Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 3500 Indiv Med Deductible - HMO
- Connect Silver 4400 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
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.
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.
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.
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 |
|---|---|---|---|
| 00606 | OTHER (01) | NC | AETNA HEALTH CARE |
| 3401523 | MEDICAID (05) | NC | |
| 31025 | OTHER (01) | NC | WELLPATH |
| 32734 | OTHER (01) | NC | PARTNERS |
| 6407127 | OTHER (01) | NC | CIGNA |
| 341523 | MEDICARE ID-TYPE UNSPECIFIED (04) | NC | MEDICARE PROVIDER NUMBER |
| 0022N | OTHER (01) | NC | BLUE CROSS BLUE SHIELD |
| 8353632 | OTHER (01) | NC | UNITED HEALTHCARE |
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) | 341523 |
| Ownership Type | Non-Profit |
| Medicare Certification Date | 12-07-1987 |
| Quality Measure | Measure Score |
|---|---|
| Average Daily Census Number of patients cared for by a hospice on average each day | 603.0 |
| 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 | 25 |
| Care Provided in Home Percentage of days patients received care in home | 55 |
| Care Provided in Inpatient Hospice Facility Percentage of days patients received care in an inpatient hospice | 2 |
| 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 | 3 |
| Care Provided in Skilled Nursing Facility Percentage of days patients received care in a skilled nursing facility | 2 |
| Hospice and Palliative Care Treatment Preferences Facility observed rate | 100.0 |
| Beliefs & Values Addressed (if desired by the patient) Facility observed rate | 99.8 |
| Hospice and Palliative Care Pain Screening Facility observed rate | 99.7 |
| Hospice and Palliative Care Pain Assessment Facility observed rate | 99.3 |
| Hospice and Palliative Care Dyspnea Screening Facility observed rate | 99.9 |
| Hospice and Palliative Care Dyspnea Treatment Facility observed rate | 99.4 |
| Patient Treated with an Opioid Who Are Given a Bowel Regimen Facility observed rate | 99.8 |
| Hospice and Palliative Care Composite Process Measure Facility observed rate | 99.1 |
| Hospice Visits in the Last Days of Life | 2,651 |
| Hospice Visits in the Last Days of Life Facility observed rate | 41.2 |
| Hospice Care Index Overall Score Facility observed rate | 10.0 |
| CHC/GIP provided (% days) | 344,445 |
| CHC/GIP provided (% days) Facility observed rate | 2.0 |
| CHC/GIP provided (% days) | 93 |
| Gaps in nursing visits (% elections) | 2,182 |
| Gaps in nursing visits (% elections) Facility observed rate | 73.1 |
| Gaps in nursing visits (% elections) | 77 |
| Early live discharges (% live discharges) | 434 |
| Early live discharges (% live discharges) Facility observed rate | 6.7 |
| Early live discharges (% live discharges) | 56 |
| Late live discharges (% live discharges) | 434 |
| Late live discharges (% live discharges) Facility observed rate | 40.3 |
| Late live discharges (% live discharges) | 52 |
| Burdensome transitions, Type 1(% live discharges) | 434 |
| Burdensome transitions, Type 1 (% live discharges) Facility observed rate | 4.6 |
| Burdensome transitions, Type 1 (% live discharges) | 38 |
| Burdensome transitions, Type 2(% live discharges) | 434 |
| Burdensome transitions, Type 2 (% live discharges) Facility observed rate | 0.9 |
| Burdensome transitions, Type 2 (% live discharges) | 47 |
| Per-beneficiary spending (U.S. dollars $) | 4,886 |
| Per-beneficiary spending (U.S. dollars $) Facility observed rate | 13,649 |
| Per-beneficiary spending (U.S. dollars $) | 32 |
| Nurse care minutes per routine home care days (minutes) | 336,291 |
| Nurse care minutes per routine home care days (minutes) Facility observed rate | 12.1 |
| Nurse care minutes per routine home care days (minutes) | 48 |
| Skilled nursing minutes on weekends (% minutes) | 4,055,880 |
| Skilled nursing minutes on weekends (% minutes) Facility observed rate | 9.5 |
| Skilled nursing minutes on weekends (% minutes) | 66 |
| Visits near death (% decedents) | 4,109 |
| Visits near death (% decedents) Facility observed rate | 89.3 |
| Visits near death (% decedents) | 31 |
| Percent of Patients with Cancer Percentage of patients at hospice who had Cancer as their primary diagnosis | 25 |
| Percent of Patients with Circulatory/heart disease Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis | 15 |
| Percent of Patients with Dementia Percentage of patients at hospice who had Dementia as their primary diagnosis | 15 |
| Percent of Patients with Other Conditions Percentage of patients at hospice who had some other conditions as their primary diagnosis | 5 |
| Percent of Patients with Respiratory disease Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis | 4 |
| Percent of Patients with Stroke Percentage of patients at hospice who had Stroke as their primary diagnosis | 19 |
| 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 |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 1 | 8 | 9 | 7 | 4 | 6 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 2 | 8 | 18 | 7 | 8 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 2 + 8 + 1 + 8 + 7 + 8 + 6 + 0 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1518974609 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871501809 | HOSPICE OF WAKE COUNTY, INC. Organization | Home Health | 250 HOSPICE CIRCLE RALEIGH, NC 27607 (919) 828-0890 |
| 1346577962 | ALYSON KATHRYN STALZER RN,NP Individual | Nurse Practitioner (Gerontology) | 250 HOSPICE CIRCLE RALEIGH, NC 27607 (919) 828-0890 |
| 1558730846 | HOSPICE OF WAKE COUNTY, INC. Organization | Specialist | 250 HOSPICE CIRCLE RALEIGH, NC 27607 (919) 828-0890 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518974609, enumerated in the NPI registry as an "organization" on August 02, 2006
The provider is located at 250 Hospice Circle Raleigh, Nc 27607 and the phone number is (919) 828-0890
This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Absolute Total. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 02, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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