Elite Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ELITE HOSPICE, INC.

Practice address

611 N Mayfair Rd Ste 7
Wauwatosa, WI 53226-4248

Phone

(414) 401-4710

Fax

(414) 401-4715

NPI assigned

Jun 23, 2025

Last updated

Jun 23, 2025By 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

Jeffrey Paul

Title

President

Phone

(414) 401-4710

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265329098. Details of each certification follow.

• CCN 521631 Hospice · Active · Details

Hospice certification: CCN 521631

Legal name

ELITE HOSPICE, INC.

Doing business as

ELITE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 6, 2026

Last certification

Dec 24, 2025

Organization structure

CorporationProprietary

Enrollment address

611 N Mayfair Rd
Ste 7
Wauwatosa, WI 53226-4248

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 6

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.

• Glenn C Caine, D.O.

  • Family Medicine Physician
  • Wauwatosa, WI
  • NPI 1811007560

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 2

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

• Kimberly Ann Lagrow, R.N., FNP-C

  • Family Nurse Practitioner
  • Muskego, WI
  • NPI 1649321498

  Hospice

  Care Compare affiliation
• Brian Roland Wolter, M.D.

  • Family Medicine Physician
  • West Bend, WI
  • NPI 1588638498

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1265329098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N MAYFAIR RD STE 7",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264248",
            "telephone_number": "414-401-4710",
            "fax_number": "414-401-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N MAYFAIR RD STE 7",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264248",
            "telephone_number": "414-401-4710",
            "fax_number": "414-401-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-401-4710"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Community Based Hospice Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.