Active NPI
Parc Hospice, LLC
- Community Based Hospice Care Agency
- Farmington Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PARC HOSPICE, LLC
- Practice address
- 31690 W 12 Mile Rd Ste 102
Farmington Hills, MI 48334-4404 - Phone
- (248) 328-2939
- Fax
- (248) 328-2941
- NPI assigned
- Oct 24, 2022
- Last updated
- Aug 13, 2026
- 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
- Jonathan Gasso
- Title
- Ceo
- Phone
- (248) 328-2939
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
31690 W 12 Mile Rd Ste 102
Farmington Hills, MI 48334-4404
Mailing address
31690 W 12 Mile Rd Ste 102
Farmington Hills, MI 48334-4404
Phone (248) 328-2939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230105000268 | MI | Part A Provider - Hospice | 9739559956 | Practice locations: West Bloomfield, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1255058020. Details of each certification follow.
Hospice certification: CCN 231715
- Legal name
- PARC HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Nov 4, 2023
- Last certification
- Oct 19, 2023
- Organization structure
- LLC
- Incorporated
- Aug 9, 2022 in MI
- Enrollment address
- 33060 Northwestern Hwy
Ste 210
West Bloomfield, MI 48322-3695
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Hospice
Medicare Care Compare- Listed as
- Parc Hospice, LLC
- Certified
- Nov 4, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Parc Hospice LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Health Nurse Practitioner
- Farmington Hills, MI
- NPI 1649133224
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Jonathan Thamer Gasso | 5% Or Greater Direct Ownership Interest | Aug 9, 2022 | 66.67% |
| Corporate Officer | Aug 9, 2022 | ||
| Corporate Director | Aug 9, 2022 | ||
| W-2 Managing Employee | Aug 9, 2022 | ||
| Subburaman Sivakumar | Contracted Managing Employee | Apr 1, 2025 | |
| Jeffrey Sam Orow | 5% Or Greater Direct Ownership Interest | Aug 9, 2022 | 33.33% |
| Corporate Director | Aug 9, 2022 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Orthopedic Physical Therapist
- West Bloomfield, MI
- NPI 1073608907
5% Or Greater Direct Ownership Interest, Corporate Director
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1073514873
Contracted Managing Employee
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.
-
- Orthopedic Physical Therapist
- West Bloomfield, MI
- NPI 1073608907
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1073514873
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786579200000",
"number": "1255058020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31690 W 12 MILE RD STE 102",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483344404",
"telephone_number": "248-328-2939",
"fax_number": "248-328-2941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31690 W 12 MILE RD STE 102",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483344404",
"telephone_number": "248-328-2939",
"fax_number": "248-328-2941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARC HOSPICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-24",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A",
"authorized_official_last_name": "GASSO",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "248-328-2939"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.