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Organization Active NPI

Wings of Hope Hospice and Palliative Care Inc.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Allegan, MI
National Provider Identifier
1306249073
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
WINGS OF HOPE HOSPICE AND PALLIATIVE CARE INC.
Practice address
530 Linn St
Allegan, MI 49010-1562
Phone
(269) 686-8659
Fax
(269) 686-9643
NPI assigned
Oct 8, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Theresa Lynn, RN, LMSW
Title
Executive Director
Phone
(269) 686-8659

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Wings of Hope Hospice and Palliative Care, Inc.
    • Community Based Hospice Care Agency
    • Allegan, MI
    • NPI 1609871425

    5% Or Greater Direct Ownership Interest, 5% Or Greater Indirect Ownership Interest, 5% Or Greater Mortgage Interest, 5% Or Greater Security Interest, General Partnership Interest, Limited Partnership Interest, Operational/Managerial Control

    CMS ownership

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151005000393 MI Part B Supplier - Clinic/Group Practice 7618114380 Receives reassigned benefits from 4 practitioners
Practice locations: Allegan, MI

All facility ownership & control disclosures 1

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wings of Hope Hospice and Palliative Care, Inc.Allegan, MI, CCN 231547 Hospice 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Indirect Ownership Interest (100%)
5% Or Greater Mortgage Interest (100%)
5% Or Greater Security Interest (100%)
General Partnership Interest (100%)
Limited Partnership Interest (100%)
Operational/Managerial Control (100%)		 Feb 25, 1992
Feb 25, 1992
Feb 25, 1992
Feb 25, 1992
Feb 25, 1992
Feb 25, 1992
Feb 25, 1992

National Provider Directory

National Provider Directory
Tax ID family
Wings of Hope Hospice Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

NPPES NPI Registry

Primary practice location

530 Linn St
Allegan, MI 49010-1562

Mailing address

530 Linn St
Allegan, MI 49010-1562
Phone (269) 686-8659

Other names 1

NPPES NPI Registry
  • JOURNEYS ADVANCED ILLNESS MANAGEMENT Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 21, 2022.

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1306249073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 LINN ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101562",
            "telephone_number": "269-686-8659",
            "fax_number": "269-686-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 LINN ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101562",
            "telephone_number": "269-686-8659",
            "fax_number": "269-686-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF HOPE HOSPICE AND PALLIATIVE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "269-686-8659",
        "authorized_official_credential": "RN, LMSW"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOURNEYS ADVANCED ILLNESS MANAGEMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allegan, MI

Sources for this page

Verify at the official NPI Registry.