West Michigan Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

WEST MICHIGAN HOSPICE, LLC

Practice address

7814 Kirkwood TRL SE
Alto, MI 49302-8980

Phone

(616) 617-7565

NPI assigned

Aug 28, 2019

Last updated

Aug 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aaron Leestma

Title

Ceo

Phone

(616) 617-7565

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205484797. Details of each certification follow.

• CCN 231679 Hospice · Active · Details

Hospice certification: CCN 231679

Legal name

WEST MICHIGAN HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 7, 2020

Last certification

May 7, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

6835 Hanna Lake Ave SE
Caledonia, MI 49316-9118

Listed as

West Michigan Hospice, LLCCCN 231679 · All quality measures

Ownership

For-Profit

Certified

May 7, 2020

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 2

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.

• Matthew Falkiewicz, M.D.

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1447631411

  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.

• Kerri L. Pighetti, FNP-BC

  • Nurse Practitioner
  • Muskegon, MI
  • NPI 1134765027
  NPD (past)

Affiliated clinicians 1

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

• Matthew Falkiewicz, M.D.

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1447631411

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1205484797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7814 KIRKWOOD TRL SE",
            "city": "ALTO",
            "state": "MI",
            "postal_code": "493028980",
            "telephone_number": "616-617-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7814 KIRKWOOD TRL SE",
            "city": "ALTO",
            "state": "MI",
            "postal_code": "493028980",
            "telephone_number": "616-617-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "LEESTMA",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-617-7565"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leone Joice Swanberg
• Ashley Swets
• Kathryn Tompkins
• Ulyses Dewey Corporation (SarahCare Knapps Corner)
• Visel Afc, Inc.
• West Michigan Palliative
• Randall L Wolthuis, PHD

• Community Based Hospice Care Agency in Alto, MI
• Providers in Alto, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.