Organization Active NPI

Cardinal Hospice South, LLC

Doing business as Transitions Hospice

  • Community Based Hospice Care Agency
  • Oxford, MI
National Provider Identifier
1053786244
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CARDINAL HOSPICE SOUTH, LLC
Doing business as
Transitions Hospice
Practice address
1097 S Lapeer Rd Ste a
Oxford, MI 48371-6181
Phone
(248) 572-6690
NPI assigned
Dec 14, 2015
Last updated
Mar 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Omar Khamis
Title
Cfo
Phone
(847) 515-1505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

1097 S Lapeer Rd Ste a
Oxford, MI 48371-6181

Mailing address

8913 N Prairie Pointe Rd
Peoria, IL 61615-1577
Phone (847) 515-1505

Other names 1

  • Transitions Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160120002679 MI Part A Provider - Hospice 6406159730 Practice locations: Oxford, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053786244. Details of each certification follow.

Hospice certification: CCN 231652

Legal name
CARDINAL HOSPICE SOUTH LLC
Doing business as
TRANSITIONS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 16, 2016
Last certification
Aug 16, 2016
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Dec 30, 2015 in MI
Enrollment address
1097 S Lapeer Rd
Ste a
Oxford, MI 48371-6181

Care Compare: Hospice

Medicare Care Compare
Listed as
Transitions HospiceCCN 231652 · All quality measures
Ownership
For-Profit
Certified
Aug 16, 2016
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2108122Cardinal Hospice South LLC1097 S Lapeer Road Suite a, Oxford, MI 48371Certificate of waiverJan 28, 2028

National Provider Directory

National Provider Directory

Member of 1

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

Locations

1097 S Lapeer Rd
Ste A
Oxford, MI 48371
Phone (248) 572-6690

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Omar Khamis Individual Corporate OfficerCfo Dec 3, 2023
Transitions Acquisition LP Organization, Birmingham, MI 5% Or Greater Indirect Ownership Interest Nov 7, 2022 57.09%
Aberdeen US Private Equity VIII LP Organization, Philadelphia, PA 5% Or Greater Indirect Ownership Interest Nov 7, 2022 11.65%
Transitions Intermediate Holdings LLC Organization, Elk Grove Village, IL LLC 5% Or Greater Direct Ownership Interest Nov 7, 2022 100%
James M Palazzo Individual 5% Or Greater Indirect Ownership Interest Nov 7, 2022 37.09%
Lorient Transitions LLC Organization, Birmingham, MI LLC 5% Or Greater Indirect Ownership Interest Nov 7, 2022 40.78%
Sajid a Chaudhry Individual Contracted Managing EmployeeMD; Jun 1, 2023
University of Chicago Organization, Chicago, IL Non-profit 5% Or Greater Indirect Ownership Interest Nov 7, 2022 10.1%
Kai Holdings LLC Organization, Naperville, IL LLC 5% Or Greater Indirect Ownership Interest Nov 7, 2022 37.09%
Mandy Lintner Individual W-2 Managing EmployeeAdministrator Dec 31, 2023
Patricia Benson Individual Corporate OfficerCeo Dec 3, 2023

Owners & managing parties with NPI records 3

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

Facilities with the same owner 15

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 15

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1053786244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8913 N PRAIRIE POINTE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151577",
            "telephone_number": "847-515-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 S LAPEER RD STE A",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716181",
            "telephone_number": "248-572-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL HOSPICE SOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "KHAMIS",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-515-1505"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transitions Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, MI

Sources for this page

Verify at the official NPI Registry.