Ella E M Brown Charitable Circle
Organization Active NPI Community Based Hospice Care Agency · Marshall, MI
NPI 1407015019 · NPPES record last updated Jan 22, 2018
Key facts
- NPI
- 1407015019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- ELLA E M BROWN CHARITABLE CIRCLE
- Practice address
- 13444 Preston Dr
Marshall, MI 49068-8536 - Phone
- (269) 789-3939
- Fax
- (269) 781-1120
- NPI assigned
- Jun 9, 2008
- Organization subpart
- No
Authorized official
- Name
- Adrienne Solis-Sherman, MSN, RN, CHPN
- Title
- Director
- Phone
- (269) 789-3939
Owners & managing parties with NPI records 2
-
Thomas Neidlinger, M.D.
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 8
Practitioners 172
-
Jenifer Lyn Alonso, FNP-C
-
Kimberly Ann Applebey, FNP-BC
-
Freda L. Arlow, M.D.
-
Paul Aschmetat, DO
-
Amy C Ball, P.A.-C
-
Kaitlyn Nicole Britten, PA-C, ATC
-
Griffith William Brown, LPC, MA
-
Marie Brown, MD
-
Tiffany M Burns, MD
-
David Michael Byrens, M.D.
-
Betsy Carroll Crist, PA-C
-
Brian Clark, CRNA
-
William J Comai, DO
-
Kimberly Lauren Cronk, PA-C
-
Rebecca Davey, NP
Affiliated clinicians 6
-
David Michael Byrens, M.D.
-
Jamie Kantola, M.D.
-
Jose Manuel Valle, M.D.
Medicare Care Compare: Hospice
- Listed as
- Oaklawn Hospice
- Ownership
- Other
- Certified
- Jul 14, 2009
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Hospice certification: CCN 231612
- Legal name
- ELLA E M BROWN CHARITABLE CIRCLE
- Doing business as
- OAKLAWN HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jul 14, 2009
- Last certification
- Jul 15, 2009
- Ownership / control type
- Non-Profit - Private
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jul 27, 1912 in MI
- Enrollment address
- 13444 Preston Dr
Marshall, MI 49068-8536
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Randall Davis |
Corporate Director | Jun 23, 2017 | |
| Joseph Palchak |
Corporate Director | May 1, 2007 | |
| Theresa Dawson |
W-2 Managing Employee |
Mar 17, 2015 | |
| Thomas Neidlinger |
Corporate Director | Jan 1, 1999 | |
| Jack W Townsend |
Corporate Director | Mar 30, 2012 | |
| Carolle Hicks |
W-2 Managing Employee |
Oct 2, 2022 | |
| Derek King |
Corporate Director | Apr 28, 2017 | |
| Bruce Rasher |
Corporate Director | Jan 25, 2019 | |
| Gregg Beeg |
Corporate Officer |
Aug 4, 2018 | |
| W-2 Managing Employee | Mar 30, 2014 | ||
| Jaclyn S Liston-Crandall |
Corporate Director | Apr 18, 2021 | |
| Catherine Yates |
Corporate Director | Mar 27, 2015 | |
| Franklin Line |
Corporate Director | May 29, 2020 | |
| Mark Z Machalka |
W-2 Managing Employee |
Aug 29, 2016 | |
| Meghan Taft |
Corporate Director | Oct 28, 2022 | |
| Andrew Poole |
Corporate Officer |
Feb 1, 2019 | |
| W-2 Managing Employee | Aug 4, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080721000251 | MI | Part a Provider - Hospice | 1254228745 | Practice locations: Marshall, MI |
National Provider Directory
- Tax ID family
- Oaklawn Hosp Int Med
Locations
13444 Preston Dr
Marshall, MI 49068
Phone (269) 789-3939
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
13444 Preston Dr
Marshall, MI 49068-8536
Mailing address
13444 Preston Dr
Marshall, MI 49068-8536
Phone (269) 789-3939
Other providers in Marshall, MI
- Jennifer D. Eilola
- Elizabeth Ferrall Consulting LLC
- Ella E M Brown Charitable Circle
- Ella E M Brown Charitable Circle
- Ella E M Brown Charitable Circle
- Ella E M Brown Charitable Circle
- Ella E M Brown Charitable Circle
- Ella E M Brown Charitable Circle
- Ella E M Brown Charitable Circle
- Ella E. M. Brown Charitable Circle
All providers in Marshall, MI · Community Based Hospice Care Agency in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.