NPIMap

Organization Active NPI

Hospice at Home, Inc.

Doing business as Corewell Health Hospice & Palliative Care Southwest Michigan

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Saint Joseph, MI
National Provider Identifier
1316364383
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
HOSPICE AT HOME, INC.
Doing business as
Corewell Health Hospice & Palliative Care Southwest Michigan
Palliative Medicine and Supportive Care
Practice address
4025 Health Park LN
Saint Joseph, MI 49085-3421
Phone
(269) 429-7100
Fax
(269) 429-1307
NPI assigned
Mar 27, 2014
Last updated
Aug 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Daniel Wassenhove
Title
Director of Operations
Phone
(269) 429-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU Primary

Addresses

Primary practice location

4025 Health Park LN
Saint Joseph, MI 49085-3421

Mailing address

4025 Health Park LN
Saint Joseph, MI 49085-3421
Phone (269) 429-7100

Other identifiers 2

IdentifierTypeStateIssuer
1316364383MedicaidMI
1831186311OtherMINPI

Other names 2

  • Corewell Health Hospice & Palliative Care Southwest Michigan Doing business as
  • Palliative Medicine and Supportive Care Doing business as

National Provider Directory

National Provider Directory

Locations

4025 Health Park Ln
Saint Joseph, MI 49085
Phone (269) 429-7100

Practitioners & affiliated clinicians

Practitioners 48

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.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1316364383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 HEALTH PARK LN",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853421",
            "telephone_number": "269-429-7100",
            "fax_number": "269-429-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 HEALTH PARK LN",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853421",
            "telephone_number": "269-429-7100",
            "fax_number": "269-429-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE AT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "WASSENHOVE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "269-429-7100"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316364383",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1831186311",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corewell Health Hospice & Palliative Care Southwest Michigan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palliative Medicine and Supportive Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.