Active NPI
Nyfries, Inc
Doing business as Up Home Health and Hospice
- Community Based Hospice Care Agency
- Marquette, MI
National Provider Identifier
1184817231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 523515
- Legal business name
- NYFRIES, INC
- Doing business as
- Up Home Health and Hospice
- Practice address
- 1125 W Ridge St
Marquette, MI 49855 - Phone
- (906) 225-4545
- Fax
- (906) 225-7543
- NPI assigned
- Aug 22, 2007
- Last updated
- Jul 12, 2018
- 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
- Mrs. Cynthia Nyquist, RN,MSN,CHPN
- Title
- Executive Director/Ceo
- Phone
- (906) 225-4545
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 523515 | MI | Primary |
Addresses
Primary practice location
1125 W Ridge St
Marquette, MI 49855
Mailing address
1125 W Ridge St
Marquette, MI 49855-3191
Phone (906) 225-4545
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08743 | Other | MI | BCBS HOSPICE |
| 2932595 | Medicaid | MI |
Other names 1
- UP HOME HEALTH AND HOSPICE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120302000654 | MI | Part A Provider - Hospice | 8628192598 | Practice locations: Marquette, MI; Ishpeming, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1184817231. Details of each certification follow.
Hospice certification: CCN 231555
- Legal name
- NYFRIES, INC
- Doing business as
- UPPER PENINSULA HOME HEALTH & HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 19, 1993
- Last certification
- Oct 15, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Feb 14, 1986 in MI
- Enrollment address
- 510 Mather Ave
Ishpeming, MI 49849-1029
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Up Home Health and Hospice
- Home Health Agency
- Marquette, MI
- NPI 1891793162
8628192598
Care Compare: Hospice
Medicare Care Compare- Listed as
- Upper Peninsula Home Health & Hospice
- Ownership
- For-Profit
- Certified
- Mar 19, 1993
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Nyfries Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
510 Mather Ave
Ishpeming, MI 49849
Phone (906) 485-4545
1414 W Fair Ave
Ste 44
Marquette, MI 49855
Phone (906) 225-4545
829 Croix St
Negaunee, MI 49866
Phone (906) 475-4127
Ownership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Cynthia a Nyquist | 5% Or Greater Direct Ownership Interest | Jul 1, 2010 | 100% |
| Corporate Officer | Jul 1, 2010 | 100% | |
| Corporate Director | Jul 1, 2010 | 100% | |
| Sharon a Fries | Contracted Managing Employee | Nov 15, 1998 | |
| Corporate Director | Feb 14, 1986 | ||
| David B Aro | Contracted Managing Employee | May 1, 2013 | |
| Corporate Director | May 1, 2013 | ||
| Deborah M Aro | Contracted Managing Employee | Nov 15, 1998 | |
| Corporate Officer | Nov 15, 1998 | ||
| Corporate Director | Nov 15, 1998 | ||
| Jennie I Garrett-Bureau | Contracted Managing Employee | Jul 1, 2015 | |
| Corporate Director | Jul 1, 2015 |
Practitioners & affiliated clinicians
Affiliated clinicians 16
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": "1187740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531353600000",
"number": "1184817231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 W RIDGE ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498553191",
"telephone_number": "906-225-4545",
"fax_number": "906-225-7573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 W RIDGE ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "49855",
"telephone_number": "906-225-4545",
"fax_number": "906-225-7543"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NYFRIES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-22",
"last_updated": "2018-07-12",
"status": "A",
"authorized_official_last_name": "NYQUIST",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
"authorized_official_telephone_number": "906-225-4545",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN,MSN,CHPN"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MI",
"license": "523515",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS HOSPICE",
"identifier": "08743",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2932595",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "UP HOME HEALTH AND HOSPICE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "UP HOME HEALTH AND HOSPICE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.