Hospice Advantage, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

2017 Issued in WI

Legal business name

HOSPICE ADVANTAGE, LLC

Practice address

951 Main St
Suite 120
Union Grove, WI 53182-1039

Phone

(262) 864-4145

Fax

(262) 864-4209

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Kayanne Mynsberge

Title

Coo

Phone

(989) 891-2210

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hospice Advantage, Inc Former legal business name

Member of 1

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

• Hospice Advantage Midco, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Auburn, AL
  • NPI 1093238248

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1104928332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CENTER AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085939",
            "telephone_number": "989-891-2206",
            "fax_number": "989-893-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 MAIN ST",
            "address_2": "SUITE 120",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531821039",
            "telephone_number": "262-864-4145",
            "fax_number": "262-864-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE ADVANTAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "MYNSBERGE",
        "authorized_official_first_name": "KAYANNE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "989-891-2210"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "WI",
            "license": "2017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43190800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice Advantage, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• H.O.P.E. Day Services LLC
• Daniel J Haller, MD
• Cory Harpe
• Suzanne Marie Harper, M.S. CCC SLP
• Amanda Hoegsted
• Kevin M Huckstorf, DPT
• Heather S. Huebner, DPT
• Karrylyn K Kais
• Amie Koehnlein, LPC
• Simonida Kokanovic, M.D.

• All providers in Union Grove, WI
• Community Based Hospice Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.