NPIMap

Organization Active NPI

Bronson at Home

  • Home Health Agency
  • Battle Creek, MI
National Provider Identifier
1376524090
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BRONSON AT HOME
Practice address
4625 Beckley Rd
BLDG 200, Ste a
Battle Creek, MI 49015-7956
Phone
(844) 241-4663
Fax
(269) 660-3650
NPI assigned
Nov 9, 2005
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BRONSON HEALTHCARE GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Rebecca East
Title
VP, Bronson at Home
Phone
(269) 341-7806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

4625 Beckley Rd
BLDG 200, Ste a
Battle Creek, MI 49015-7956

Mailing address

301 John St
Kalamazoo, MI 49007-5295
Phone (269) 341-7806

Other identifiers 2

IdentifierTypeStateIssuer
0E123OtherMIBCBS
3332416MedicaidMI

Other names 1

  • Lifespan, Inc Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071112000497 MI Part A Provider - Home Health Agency 9032022967 Practice locations: Battle Creek, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376524090. Details of each certification follow.

Home health agency certification: CCN 237028

Legal name
BRONSON AT HOME
Doing business as
BRONSON AT HOME HEALTHCARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Mar 1, 2001
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Feb 1, 2015 in MI
Enrollment address
4625 Beckley Rd
BLDG 200, Ste a
Battle Creek, MI 49015-7956
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bronson at Home Healthcare ServicesCCN 237028 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0903131Bronson at Home Healthcare Services4625 Beckley Road BLDG 200, Battle Creek, MI 49015Certificate of waiverJul 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
Ambulatory Infusion Services2 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.

Locations

4625 Beckley Rd
Bldg 200
Battle Creek, MI 49015
Phone (844) 241-4663

Ownership & related parties

All disclosed owners & managing parties 28

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bill Harold Manns Individual Corporate OfficerPresident & Ceo Jan 1, 2020
W-2 Managing EmployeePresident & Ceo Jan 1, 2020
William B Workman Individual Corporate OfficerSystem Chief of Staff Nov 1, 2022
Mike Way Individual Corporate OfficerSVP Jan 1, 1986
W-2 Managing Employee Jan 1, 1986
Rebecca East Individual Corporate OfficerSVP, Cfo Feb 1, 2014
W-2 Managing EmployeeSVP, Cfo Feb 1, 2015
Michael F Odar Individual Corporate DirectorDirector Jul 1, 2016
Steven J Lins Individual Corporate OfficerBoard Member Oct 1, 2014 100%
Erick Stewart Individual Corporate DirectorBoard Member Nov 1, 2022
Katharine Hermsen Individual Corporate DirectorBoard Member Jan 1, 2025
Susan Reinoehl Individual Corporate OfficerSVP, Cso Jan 1, 1995
W-2 Managing EmployeeSVP, Cso Jan 1, 1995
Robert M Nicholson Individual Corporate DirectorBoard Member Jul 1, 2024
James L Liggins Individual Corporate Director Jan 1, 2016
Cheryl Johnson Individual Corporate OfficerSVP, Cpo Jan 1, 2021
W-2 Managing EmployeeSVP, Cpo Jan 1, 2021
Leigh Ann Colegrove Individual W-2 Managing EmployeeSystem Credentialing Coordinator Oct 11, 2021
Lynn Chen-Zhang Individual Corporate DirectorBoard Member Nov 1, 2022
Jorge Gonzalez Individual Corporate Director Jan 1, 2018
Namita Sharma Individual Corporate DirectorBoard Member Nov 1, 2022
Richard J Allen Individual Corporate Director Jan 1, 2017
Kellie Hoffman Individual Corporate DirectorBoard Member Jan 1, 2025
Genevieve Coleman Individual Corporate OfficerBoard Member Jan 1, 2025
Bronson Health Care Group Inc Organization, Kalamazoo, MI Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2011 100%
Scott C Gibson Individual Corporate OfficerBoard Member Oct 1, 2014 100%
Randall W. Eberts Individual Corporate OfficerBoard Member Oct 1, 2014 100%
Grace Lubwama Individual Corporate DirectorBoard Member Jan 1, 2025
Brenda L Hunt Individual Corporate OfficerBoard Member Oct 1, 2014 100%
Donald R. Parfet Individual Corporate OfficerBoard Member Oct 1, 2014 100%
James B Falahee Individual Corporate OfficerSVP, Clo Feb 1, 2015
W-2 Managing EmployeeSVP,Clo Feb 1, 2015
Neil Nyberg Individual Corporate OfficerBoard Member Oct 1, 2014 100%
Nelson Karre Individual Corporate OfficerBoard Member Oct 1, 2014 100%

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 59

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

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1376524090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 JOHN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075295",
            "telephone_number": "269-341-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 BECKLEY RD",
            "address_2": "BLDG 200, STE A",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157956",
            "telephone_number": "844-241-4663",
            "fax_number": "269-660-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONSON AT HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRONSON HEALTHCARE GROUP",
        "enumeration_date": "2005-11-09",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "EAST",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "VP, BRONSON AT HOME",
        "authorized_official_telephone_number": "269-341-7806"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0E123",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3332416",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lifespan, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Lifespan, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.