Promedica Hospice (jacksonville)



  
8130 Baymeadows Way W Ste 201, Jacksonville
Florida, 32256

 (90-4) -737-2553   Maps & Directions
Promedica Hospice (jacksonville), also known as Promedica Hospice (jacksonville) is a hospice care center situated at Jacksonville, Florida. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Promedica Hospice (jacksonville) accommodated approx. 636 Medicare beneficiaries whose average age was 80 years in CY2022. Unique hospice identification number provided by medicare to this hospice care is 101549. Promedica Hospice (jacksonville) comes under the CMS regional office located at Atlanta. This CMS regional office covers all hospices located in Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee. Services provided at Promedica Hospice (jacksonville) mainly includes home health aide, counseling, medical social services, medical supply services, nursing services, occupational therapy, other, physician services, physical therapy, short term inpatient care, speech pathology services.
Promedica Hospice (jacksonville) provides special care for people who are terminally ill. This involves a team-oriented approach that addresses the medical, physical, social, emotional, and spiritual needs of the patient. Hospice also provides support to the patient’s family or caregiver.


Complete Hospice Profile:
Promedica Hospice (jacksonville) type, unique identification code, ownership type, accreditation,short term inpatient care type, address, contact number, fax number and all other information is provided as below. Recipients can directly walkin or can call on the below given phone number for appointment.
Hospice ID (CCN) 101549
Hospice’s Ownership Type:Non-Profit (03 Voluntary Non-Profit - Other)
Accreditation Accreditation Commission for Health Care (ACHC)
Hospice Address:8130 Baymeadows Way W Ste 201, Jacksonville,
Florida, 32256
County:Duval
Phone:(90-4) -737-2553
Fax:904-737-2631
CMS Regional Office Atlanta
Medicare Certification:
Medicare certification details of Promedica Hospice (jacksonville) with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:Yes
Medicare Certification Date:15 Nov, 2007
Current Status: Active Provider
Latest visit of the Health or LSC survey: 04 Nov, 2021
Certificate Provider: CMS Regional Office
Provider's Billing ID: 000141800
CBSA Code 27260 (Urban)
Federal Certification Status Certified (as on 01 Apr, 2024)
National Hospice Spending and Utilization (2022):
National Hospice Spending and Utilization based on FY 2022 for Promedica Hospice (jacksonville) are stated below it includes number of beneficiaries, average age of beneficiaries accommodated in hospice, total medicare payment amount received by hospice, total charge amount of the hospice.
Beneficiaries 636
RHC Days (in %) 99
Episode or Stay Count 663
Total Nursing Minutes 622605 Minutes (10376.75 Hours)
Days of Service 53,452
Average Age of Beneficiary 80 year
Average Risk Score of Beneficiaries 2.74
Total Medicare Payment Amount $ 8,415,200
Total Medicare Standard Payment Amount $ 9,290,403
Total Medicare Allowed Payment Amount $ 8,415,200
Total Charge Amount $ 14,086,269

Average Hospice Visit Count


Promedica Hospice (jacksonville) have 12113 skilled nursing visits, 2814 social work visits and 13215 Number of home health aide visits provided by the home health agency or hospice.


Beneficiaries by Gender


Promedica Hospice (jacksonville) rendered hospice services to 42% Male and 58% Female Medicare beneficiaries in a Fiscal year.

Beneficiaries by Race


Promedica Hospice (jacksonville) provided hospice care to 75% White, 17% Black, 6% Hispanic, 13% not disclosed Medicare beneficiaries in a Fiscal year.

Medicare/Medicaid Eligible Beneficiaries


At Promedica Hospice (jacksonville), 39% of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits, (also be referred to as dual eligibility). Beneficiaries are classified as a dual if in any month in the given calendar year they were receiving full or partial Medicaid benefits.


Beneficiaries with Primary Disease Diagnosis

At Promedica Hospice (jacksonville), distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 14 of Neoplasms & Diseases of the Blood and Blood forming organs, 22 of Diseases of the Nervous System, 32 of Diseases of the Circulatory System, 23 of Diseases of the Respiratory System, 2 of Diseases of the Genitourinary System, 2 of Diagnosis of Injury, Poisoning and certain other consequences of external causes & external causes of Morbidity,

Services Provided:
Services available at Promedica Hospice (jacksonville) are mentioned below along with the information that who will provide the service like whether it will be provided by hospice staff or will be arranged from any 3rd source or outer source.
Services AvailableProvided By
Home Health AideHospice Staff
CounselingHospice Staff
Medical Social ServicesHospice Staff
Medical Supply ServicesProvided under Arrangement
Nursing ServicesHospice Staff
Occupational TherapyProvided under Arrangement
OtherHospice Staff
Physician ServicesProvided under Arrangement
Physical TherapyProvided under Arrangement
Short Term Inpatient CareProvided under Arrangement
Speech Pathology ServicesProvided under Arrangement

Quality of Patient Care:
Quality of patient care is measured based on the survey done by the patients who received the hospice care, as well as the experiences of their informal primary caregivers. Main points included in the survey are treatment preferences, beliefs/values addressed (if desired by the patient), pain screening, pain assessment, dyspnea screening, dyspnea treatment,patients treated with an opioid who are given a bowel regimen.
Measure NameScore (in %)National Average
Treatment Preferences 100.098.3
Beliefs/Values Addressed (if desired by the patient) 100.093.6
Pain Screening 99.893.9
Pain Assessment 99.677.7
Dyspnea Screening 99.897.3
Dyspnea Treatment 100.094.6
Patients Treated with an Opioid who are Given a Bowel Regimen 100.093.3
Employee Count:
Promedica Hospice (jacksonville) employee information is available below according to the service area, it is also divided among volunteer and employed count.
Services Employed CountVolunteer Count
Home Health Aide13.00.0
Counseling5.1 0.0
Medical Social Services4.00.0
Registered Nurses15.00.0
Practical/Vocational Nurses2.0 0.0
Other Personnel3.0 0.7
TOTAL42.10.7
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this hospice are as below. Person's position and contact details are also mentioned below.
Name: Mr. Martin D Allen
Position: Director
Contact Number: 419-252-5734
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of stated hospice are as mentioned below.
NPI Number: 1275666273
NPI Enumeration Date: 13 Mar, 2007
NPI Last Update On: 31 Jan, 2022
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Promedica Hospice (jacksonville) are as mentioned below.
SpecializationLicense NumberStateStatus
Hospice Care, Community Based Primary
Other Medical Identifiers:
Other legacy medical identifiers of the hospice such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
000141800MedicaidFlorida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 333 N Summit St, Attn Dean Shipman
Toledo, Ohio
Zip: 43604-2615
Phone Number: 419-254-7851
Patients can reach Promedica Hospice (jacksonville) at 8130 Baymeadows Way W Ste 201, Jacksonville, Florida or can call to book an appointment on (90-4) -737-2553.
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