Erie West Hospice and Palliative Care, LTD

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ERIE WEST HOSPICE AND PALLIATIVE CARE, LTD

Practice address

1070 N Monroe St Ste B
Monroe, MI 48162-3113

Phone

(734) 240-8939

Fax

(734) 240-8950

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Martin David Allen

Title

Director

Phone

(419) 252-5734

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ProMedica Hospice (Monroe) Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Heartland Hospice Services LLC

  • Community Based Hospice Care Agency
  • Newark, DE
  • NPI 1770535858

  Member Of

  NPD member

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Odyssey Healthcare Holding Company

  • Community Based Hospice Care Agency
  • Monroe, MI
  • NPI 1811697584

  Sold to, 2023-11-01

  CMS change of ownership

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642896000000",
    "number": "1023136405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 N MONROE ST",
            "address_2": "SUITE B",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623113",
            "telephone_number": "734-240-8939",
            "fax_number": "734-240-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 N MONROE ST STE B",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623113",
            "telephone_number": "734-240-8939",
            "fax_number": "734-240-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE WEST HOSPICE AND PALLIATIVE CARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-01-23",
        "certification_date": "2022-01-23",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2849403",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Hospice (Monroe)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Empowering Minds Therapy LLC
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• Courtney Enersen
• Meghan Engel
• Joshua J Erickson
• Erie West Hospice and Palliative Care, LTD
• Angel Espada
• Edith Espiller Lara, CHW
• Misty Dawn Ethridge
• Kenedie Etts

• All providers in Monroe, MI
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.