Organization Active NPI

Accentcare Fairview Hospice - West, LLC

  • Community Based Hospice Care Agency
  • Saint Paul, MN
National Provider Identifier
1174139935
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ACCENTCARE FAIRVIEW HOSPICE - WEST, LLC
Practice address
767 Eustis St # 150
Saint Paul, MN 55114-0018
Phone
(612) 728-2455
NPI assigned
Sep 17, 2020
Last updated
Aug 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Dena Schwartz-Doty
Title
Ao
Phone
(612) 728-2455

Specialties & licenses 1

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

Addresses

Primary practice location

767 Eustis St # 150
Saint Paul, MN 55114-0018

Mailing address

225 W Mulberry St
Suite 102 Attn Mecca
Denton, TX 76201
Phone (940) 220-2074

Other practice location 1

29575 Sportsman Dr Ste 6
Chisago City, MN 55013-4801
Phone (651) 257-8850

Other practice location 2

14500 Burnhaven Dr Ste 193
Burnsville, MN 55306-5525
Phone (612) 728-2396

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201212000170 MN Part A Provider - Hospice 9133531361 Practice locations: Burnsville, MN; Chisago City, MN; Saint Paul, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174139935. Details of each certification follow.

Hospice certification: CCN 241514

Legal name
ACCENTCARE FAIRVIEW HOSPICE - WEST, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 4, 1989
Last certification
May 10, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
767 Eustis St
Ste 150
Saint Paul, MN 55114-0018

Care Compare: Hospice

Medicare Care Compare
Listed as
Accentcare Fairview Hospice - West, LLCCCN 241514 · All quality measures
Ownership
Non-Profit
Certified
Apr 4, 1989
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
24D2201554Accentcare Fairview Hospice - West, LLC767 Eustis St Ste 150, Saint Paul, MN 55114Certificate of waiverNov 20, 2026

National Provider Directory

National Provider Directory

Locations

29575 Sportsman Dr
Chisago City, MN 55013

29575 Sportsman Dr
Ste 6
Chisago City, MN 55013
Phone (651) 257-8850

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Accentcare Fairview, LLC Organization, Dallas, TX LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 2, 2020 100%
Daniel Maison Individual W-2 Managing EmployeeMD; Feb 22, 2025
Advent International Gpe VIII-B, L.P. Organization, Boston, MA Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 21, 2020 12.08%
Horizon Acquisition Co Inc. Organization, Boston, MA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 2, 2020 80%
Horizon Group Holdings Intermediate 2, Inc. Organization, Boston, MA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 2, 2020 80%
Seasons Rollover Holdings LLC Organization, Rosemont, IL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 21, 2020 12.32%
Fairview Health Services Organization, Minneapolis, MN Non-profit 5% Or Greater Indirect Ownership Interest Nov 2, 2020 20%
Horizon Group Holdings Intermediate 1, Inc. Organization, Boston, MA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 2, 2020 80%
Horizon Group Holdings, L.P. Organization, Boston, MA Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 2, 2020 80%
Advent International Gpe VIII-B-3, L.P. Organization, Boston, MA Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 21, 2020 5.04%
Heather Siscel Individual Corporate OfficerAsst Secretary Jan 27, 2023
Advent International Gpe VIII-a LP Organization, Boston, MA Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 21, 2020 8.96%
Elizabeth R Adams Individual W-2 Managing EmployeeAdministrator Oct 8, 2024
Accentcare, Inc. Organization, Dallas, TX Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 2, 2020 80%
Dena Schwartz-Doty Individual Corporate OfficerAsst Corporate Secretary Nov 2, 2020
Operational/Managerial Control Nov 2, 2020
Pluto Acquisition I Inc Organization, Dallas, TX Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 2, 2020 80%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 115

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

View all 115

Change-of-ownership history 1

DateEventCounterparty
Nov 2, 2020 Change of OwnershipThis provider was the buyer Fairview Home Care and HospiceCCN 241514, MN, NPI 1710966353

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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 4

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": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1174139935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W MULBERRY ST",
            "address_2": "SUITE 102 ATTN MECCA",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76201",
            "telephone_number": "940-220-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 EUSTIS ST # 150",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551140018",
            "telephone_number": "612-728-2455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29575 Sportsman Dr Ste 6",
            "address_purpose": "LOCATION",
            "city": "Chisago City",
            "state": "MN",
            "postal_code": "550134801",
            "country_code": "US",
            "telephone_number": "651-257-8850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14500 Burnhaven Dr Ste 193",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553065525",
            "country_code": "US",
            "telephone_number": "612-728-2396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACCENTCARE FAIRVIEW HOSPICE - WEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ-DOTY",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "612-728-2455"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.