Active NPI
Hospice of North Ottawa Community Inc
- Community Based Hospice Care Agency
- Grand Haven, MI
National Provider Identifier
1194182550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 703511
- Legal business name
- HOSPICE OF NORTH OTTAWA COMMUNITY INC
- Practice address
- 1027 S Beacon Blvd
Grand Haven, MI 49417-2607 - Phone
- (616) 846-2015
- Fax
- (616) 846-7227
- NPI assigned
- Jan 15, 2016
- 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
- Ruth Martynowicz
- Title
- Interim President and Ceo
- Phone
- (610) 690-2520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 703511 | MI | Primary |
Addresses
Primary practice location
1027 S Beacon Blvd
Grand Haven, MI 49417-2607
Mailing address
1061 S Beacon Blvd
Grand Haven, MI 49417-2587
Phone (616) 846-2015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1459188 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
National Provider Directory
National Provider DirectoryLocations
1061 S Beacon Blvd
Grand Haven, MI 49417
Phone (616) 846-2015
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Grand Haven, MI
- NPI 1952303117
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Ann Arbor, MI
- NPI 1619990819
-
- Nurse Practitioner
- Grand Haven, MI
- NPI 1184666380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772582400000",
"number": "1194182550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 S BEACON BLVD",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172587",
"telephone_number": "616-846-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 S BEACON BLVD",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172607",
"telephone_number": "616-846-2015",
"fax_number": "616-846-7227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE OF NORTH OTTAWA COMMUNITY INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-15",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A",
"authorized_official_last_name": "MARTYNOWICZ",
"authorized_official_first_name": "RUTH",
"authorized_official_title_or_position": "INTERIM PRESIDENT AND CEO",
"authorized_official_telephone_number": "610-690-2520"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MI",
"license": "703511",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1459188",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.