Peaceful Hearts Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PEACEFUL HEARTS HOSPICE LLC

Practice address

1812 N 203Rd St
Elkhorn, NE 68022-2885

Phone

(402) 651-8525

NPI assigned

Jul 21, 2021

Last updated

Jul 22, 2021By 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

Robyn Colan

Title

Owner/President

Phone

(402) 651-8525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306419965. Details of each certification follow.

• CCN 281554 Hospice · Active · Details

Hospice certification: CCN 281554

Legal name

PEACEFUL HEARTS HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 15, 2022

Last certification

Nov 2, 2022

Organization structure

LLCProprietary

Incorporated

Jun 30, 2021 in NE

Enrollment address

1812 N 203Rd St
Elkhorn, NE 68022-2885

Listed as

Peaceful Hearts Hospice, LLCCCN 281554 · All quality measures

Certified

Nov 15, 2022

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 5

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.

• Rebecca Mary Wester, M.D.

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1790767713

  Contracted 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.

• Rebecca Mary Wester, M.D.

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1790767713
  NPD (past)

Affiliated clinicians 3

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

• Anthony Hatcher, D.O.

  • Family Medicine Physician
  • Bellevue, NE
  • NPI 1952451957

  Hospice

  Care Compare affiliation
• Arif A Sattar, M.D.

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1043253222

  Hospice

  Care Compare affiliation
• Rebecca Mary Wester, M.D.

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1790767713

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1306419965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 N 203RD ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222885",
            "telephone_number": "402-651-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 N 203RD ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222885",
            "telephone_number": "402-651-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HEARTS HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "COLAN",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "402-651-8525"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Partridge
• Emily Marie Patel, M.D.
• Paths to Healing Services LLC
• Lauren Claire Paul
• Nona Jetrica Payne
• Jerris L Peatrowsky, APRN
• Matthew T Perry, DPT
• William Seth Perry, DPT
• Emma Petersen
• Kristine Charli Petersen

• Community Based Hospice Care Agency in Elkhorn, NE
• Providers in Elkhorn, NE by specialty
• Community Based Hospice Care Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.