Hope Hospice and Palliative Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

43180200 Issued in WI

Legal business name

HOPE HOSPICE AND PALLIATIVE CARE INC

Doing business as

Hope Hospice

Practice address

537 W Broadway Ave
Medford, WI 54451-1610

Phone

(715) 748-3434

Fax

(715) 748-1268

NPI assigned

Oct 19, 2005

Organization subpart

No

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

Authorized official

Name

Nicole Syryczuk

Title

Director

Phone

(715) 748-3434

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hope Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164411450. Details of each certification follow.

• CCN 521517 Hospice · Active · Details

Hospice certification: CCN 521517

Legal name

HOPE HOSPICE AND PALLIATIVE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 29, 1988

Last certification

Feb 22, 2022

Ownership / control type

Non-Profit - Private

Organization structure

CorporationNon-profit

Incorporated

Jun 4, 1984 in WI

Enrollment address

537 W Broadway Ave
Medford, WI 54451-1610

Listed as

Hope Hospice and Palliative CareCCN 521517 · All quality measures

Ownership

For-Profit

Certified

Apr 29, 1988

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

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

• Ronald J Cooper, MD

  • Family Medicine Physician
  • Waukesha, WI
  • NPI 1396799615

  W-2 Managing Employee

  CMS ownership

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.

• Christine Lee Schreiner, FNP,BC

  • Family Nurse Practitioner
  • Medford, WI
  • NPI 1083945315
  Medicare reassignment NPD

Affiliated clinicians 2

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

• Ronald J Cooper, MD

  • Family Medicine Physician
  • Waukesha, WI
  • NPI 1396799615

  Hospice

  Care Compare affiliation
• Katherine Suzanne Winiarczyk, MD

  • Internal Medicine Physician
  • Ladysmith, WI
  • NPI 1841670726

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1164411450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 W BROADWAY AVE",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511610",
            "telephone_number": "715-748-3434",
            "fax_number": "715-748-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 W BROADWAY AVE",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511610",
            "telephone_number": "715-748-3434",
            "fax_number": "715-748-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HOSPICE AND PALLIATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "SYRYCZUK",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-748-3434"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "WI",
            "license": "43180200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43180200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hope Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rae Henke, RN06 11 1964
• Courtney Henrichs, LPCIT
• Laurie Hoffman, MA, LPC
• Breanna K Hoffmann, O.D.
• Sandra K Hoogland, PA
• Ericka J Jackson
• Ann E Jochimsen, CCC-SLP
• Peter G Kiefer, RPH
• Kim a Gowey DDS LTD (Implant Dentistry of Wisconsin)
• Lauren Allyson King, MS, SLP-CF

• Community Based Hospice Care Agency in Medford, WI
• Providers in Medford, WI by specialty
• Community Based Hospice Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.

Verify at the official NPI Registry.