NPIMap

Organization Active NPI

Seasons Hospice

  • Community Based Hospice Care Agency
  • Rochester, MN
National Provider Identifier
1114924255
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HFID 03427 Issued in MN
Legal business name
SEASONS HOSPICE
Practice address
1696 Greenview Dr SW
Rochester, MN 55902-1363
Phone
(507) 285-1930
Fax
(507) 282-2737
NPI assigned
Jul 5, 2005
Last updated
Mar 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Beverly Ann Haynes, RN, BSN
Title
Executive Director
Phone
(507) 285-1930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HFID 03427 MN Primary

Addresses

Primary practice location

1696 Greenview Dr SW
Rochester, MN 55902-1363

Mailing address

1696 Greenview Dr SW
Rochester, MN 55902-1363
Phone (507) 285-1930

Other identifiers 2

IdentifierTypeStateIssuer
3Z25SEOtherMNBC/BS PROVIDER NUMBER
883344300MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040818000916 MN Part A Provider - Hospice 3375516289 Practice locations: Rochester, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114924255. Details of each certification follow.

Hospice certification: CCN 241545

Legal name
SEASONS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 21, 1994
Last certification
Feb 27, 2020
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
May 24, 1996 in MN
Enrollment address
1696 Greenview Dr SW
Rochester, MN 55902-1363

Care Compare: Hospice

Medicare Care Compare
Listed as
Seasons HospiceCCN 241545 · All quality measures
Ownership
Non-Profit
Certified
Oct 21, 1994
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1696 Greenview Dr SW
Rochester, MN 55902
Phone (507) 285-1930

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
Dawn Beck Individual Corporate Director Mar 1, 2023
Nancy Hintz Individual Corporate OfficerDirector of Development and Engagem Sep 17, 2025
W-2 Managing EmployeeDirector of Development and Engagem Sep 17, 2025
Robert Bendzick Individual Corporate DirectorTreasurer of the Board Jan 1, 2020
Anna Oldenburg Individual Corporate Director Jan 1, 2022
Timothy Hansen Individual Corporate Director Aug 1, 2009
Nicole Smith Individual Corporate DirectorVolunteer Vice Board/Interim Sec Jan 1, 2024
Rebecca Stiles-Nogosek Individual Corporate Director Jan 1, 2023
Leah Elsing Individual Corporate OfficerDirector of Clinical Services Sep 17, 2025
W-2 Managing EmployeeAd;Director of Clinical Services Sep 17, 2025
Michelle Donahue Individual Corporate OfficerDirector of Human Resources Sep 17, 2025
W-2 Managing EmployeeDirector of Human Resources Sep 17, 2025
Pamela Slocum Individual Corporate OfficerDir of Quality,Compliance & Operati Sep 17, 2025
W-2 Managing EmployeeDir of Quality,Compliance & Operati Sep 17, 2025
Tria Lor Individual W-2 Managing EmployeeMD; Aug 15, 2024

Owners & managing parties with NPI records 1

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

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.

Affiliated clinicians 11

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

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1114924255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1696 GREENVIEW DR SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559021363",
            "telephone_number": "507-285-1930",
            "fax_number": "507-282-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1696 GREENVIEW DR SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559021363",
            "telephone_number": "507-285-1930",
            "fax_number": "507-282-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "507-285-1930",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MN",
            "license": "HFID 03427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "3Z25SE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "883344300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.