Active NPI
Heart to Heart Hospice of Southgate, LLC
- Community Based Hospice Care Agency
- Southgate, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HEART TO HEART HOSPICE OF SOUTHGATE, LLC
- Practice address
- 1 Heritage Dr Ste 107
Southgate, MI 48195-3736 - Phone
- (734) 282-0209
- Fax
- (734) 282-0266
- NPI assigned
- Jan 31, 2014
- Last updated
- Oct 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly O Mitchell
- Title
- Manager
- Phone
- (972) 517-6300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
1 Heritage Dr Ste 107
Southgate, MI 48195-3736
Mailing address
7240 Chase Oaks Blvd
Plano, TX 75025-5901
Phone (972) 517-6300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1073936787. Details of each certification follow.
Hospice certification: CCN 231620
- Legal name
- HEART TO HEART HOSPICE OF SOUTHGATE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jan 4, 2011
- Last certification
- Nov 7, 2013
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Mar 11, 2013 in MI
- Enrollment address
- 1 Heritage Place
Ste 107
Southgate, MI 48195-3094
Care Compare: Hospice
Medicare Care Compare- Listed as
- Heart to Heart Hospice of Southgate, LLC
- Ownership
- For-Profit
- Certified
- Jan 4, 2011
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2012399 | Heart to Heart Hospice of Southgate, LLC | Certificate of waiver | Sep 1, 2026 |
National Provider Directory
National Provider DirectoryLocations
30800 Telegraph Rd
#1850B
Bingham Farms, MI 48025
Phone (313) 293-7720
5555 Glenwood Hills Pkwy SE
#140
Grand Rapids, MI 49512
Phone (616) 301-6160
1 Heritage Dr
Ste 107
Southgate, MI 48195
Phone (734) 282-0209
Ownership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Heart to Heart Hospice Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2013 | 100% |
| Wayel T Katrib | Contracted Managing Employee | Aug 27, 2019 | |
| H to H Founders, LLC | 5% Or Greater Indirect Ownership Interest | Jun 25, 2015 | 59.83% |
| Htohh Preferred LLC | 5% Or Greater Indirect Ownership Interest | Oct 27, 2021 | 39.92% |
| Gabrial Marzouq | W-2 Managing Employee | Apr 11, 2022 | |
| Michigan Medical Couriers and Express Delivery Services, LLC | 5% Or Greater Direct Ownership Interest | Oct 21, 2021 | 100% |
| Kelly Mitchell | 5% Or Greater Indirect Ownership Interest | Dec 15, 2015 | 65.86% |
| Corporate Officer | Jul 18, 2013 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Flat Rock, MI
- NPI 1366671174
Contracted Managing Employee
Facilities with the same owner 40
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Heart to Heart Hospice of East Michigan
- Community Based Hospice Care Agency
- Chesterfield Township, MI
- NPI 1952875080
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Htohh Preferred LLC, Michigan Medical Couriers and Express Delivery Services, LLC
-
- Community Based Hospice Care Agency
- Bingham Farms, MI
- NPI 1831485697
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Htohh Preferred LLC, Michigan Medical Couriers and Express Delivery Services, LLC
-
- Community Based Hospice Care Agency
- Flint, MI
- NPI 1215030242
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Htohh Preferred LLC, Michigan Medical Couriers and Express Delivery Services, LLC
-
- Community Based Hospice Care Agency
- Kalamazoo, MI
- NPI 1598576704
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Michigan Medical Couriers and Express Delivery Services, LLC
-
- Community Based Hospice Care Agency
- East Lansing, MI
- NPI 1770973463
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Htohh Preferred LLC, Michigan Medical Couriers and Express Delivery Services, LLC
-
dba Heart to Heart Hospice of Mid Michigan
- Community Based Hospice Care Agency
- Saginaw, MI
- NPI 1982175022
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Htohh Preferred LLC, Michigan Medical Couriers and Express Delivery Services, LLC
-
dba Heart to Heart Hospice Inpatient Center
- Community Based Hospice Care Agency
- Fort Worth, TX
- NPI 1306351556
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Htohh Preferred LLC
-
dba Heart to Heart Hospice of Sugar Land
- Community Based Hospice Care Agency
- Sugar Land, TX
- NPI 1982056644
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Htohh Preferred LLC
-
dba Heart to Heart Hospice of South Texas
- Community Based Hospice Care Agency
- Jourdanton, TX
- NPI 1851651376
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Htohh Preferred LLC
-
dba Heart to Heart Hospice of Austin
- Community Based Hospice Care Agency
- Austin, TX
- NPI 1194755876
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Htohh Preferred LLC
-
dba New Hope Hospice
- Community Based Hospice Care Agency
- Marion, IN
- NPI 1932104247
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Htohh Preferred LLC
-
dba Heart to Heart Hospice of Dallas
- Community Based Hospice Care Agency
- Dallas, TX
- NPI 1073856233
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Htohh Preferred LLC
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Livonia, MI
- NPI 1700992054
Affiliated clinicians 16
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Dearborn, MI
- NPI 1265663751
Hospice
-
- Geriatric Medicine (Family Medicine) Physician
- Van Buren TWP, MI
- NPI 1265954473
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791417600000",
"number": "1073936787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7240 CHASE OAKS BLVD",
"city": "PLANO",
"state": "TX",
"postal_code": "750255901",
"telephone_number": "972-517-6300",
"fax_number": "972-517-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HERITAGE DR STE 107",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481953736",
"telephone_number": "734-282-0209",
"fax_number": "734-282-0266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART TO HEART HOSPICE OF SOUTHGATE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-31",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "972-517-6300"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd Ste B",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.