Caring Cove Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CARING COVE HOSPICE LLC

Practice address

3120 N Home St
Mishawaka, IN 46545-4438

Phone

(574) 302-2282

NPI assigned

Jun 28, 2021

Organization subpart

No

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

Authorized official

Name

Jennifer Costello, RN

Title

Administrator

Phone

(574) 302-2282

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Hospice certification: CCN 151641

Legal name

CARING COVE HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 2, 2021

Last certification

Dec 2, 2021

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Enrollment address

3120 N Home St
Ste B
Mishawaka, IN 46545-4438

Listed as

Caring Cove Hospice LLCCCN 151641

Ownership

For-Profit

Certified

Dec 2, 2021

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 8

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 1

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

• Thomas Sweeney, DO

  • Emergency Medicine Physician
  • South Bend, IN
  • NPI 1255394524

  5% Or Greater Direct Ownership Interest

  CMS ownership

Affiliated clinicians 6

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

• Christopher J Quinn, MD

  • Family Medicine Physician
  • Granger, IN
  • NPI 1073503512

  Hospice

  Care Compare affiliation
• Israr Azim Siddiqi, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Elkhart, IN
  • NPI 1346289501

  Hospice

  Care Compare affiliation
• Richard Joel Wein, MD

  • Internal Medicine Physician
  • Mishawaka, IN
  • NPI 1770574014

  Hospice

  Care Compare affiliation
• Catherine N Wolff, DO

  • Internal Medicine Physician
  • South Bend, IN
  • NPI 1154378602

  Hospice

  Care Compare affiliation
• Dawn Ziegelmaier, NP-C

  • Family Nurse Practitioner
  • Goshen, IN
  • NPI 1477168979

  Hospice

  Care Compare affiliation
• Ashlynn Weaver, FNP-C

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1639927346

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1003486416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 N HOME ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465454438",
            "telephone_number": "574-302-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 N HOME ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465454438",
            "telephone_number": "574-302-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING COVE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "574-302-2282",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Carbone
• Ralph F Carbone Jr., DO
• Zerina Cardaklija
• Carrie Michele Cardwell
• Care First Services LLC
• Elizabeth A. Carpenter, PTA
• Grace Lauren Carpenter
• Tiana Carr
• Barbara A Carrasco, LCSW
• Tina Louise Carrera-Segundo, LPN

• Community Based Hospice Care Agency in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Community Based Hospice Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.