NPIMap

Organization Active NPI

Morselife Hospice Institute, Inc.

Doing business as Palm Beach Hospice by MorseLife

  • Community Based Hospice Care Agency
  • West Palm Beach, FL
National Provider Identifier
1407335219
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MORSELIFE HOSPICE INSTITUTE, INC.
Doing business as
Palm Beach Hospice by MorseLife
Practice address
4876 N Morselife Dr
West Palm Beach, FL 33417-8022
Phone
(561) 868-6573
Fax
(561) 242-1768
NPI assigned
Aug 13, 2018
Last updated
Oct 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Randy Wolan
Title
Cfo / Sr VP of Finance
Phone
(561) 209-6108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4876 N Morselife Dr
West Palm Beach, FL 33417-8022

Mailing address

4847 David Mack Dr
West Palm Beach, FL 33417-8023
Phone (561) 868-6573

Other names 1

  • Palm Beach Hospice by MorseLife Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190408002871 FL Part A Provider - Hospice 6002080876 Practice locations: West Palm Beach, FL
O20211122000599 FL Part B Supplier - Clinic/Group Practice 6002080876 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Palm Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407335219. Details of each certification follow.

Hospice certification: CCN 101560

Legal name
MORSELIFE HOSPICE INSTITUTE INC
Doing business as
PALM BEACH HOSPICE AND PALLIATIVE CARE BY MORSELIFE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 6, 2019
Last certification
Jul 6, 2019
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
May 26, 2011 in FL
Enrollment address
4847 David S Mack Drive
West Palm Beach, FL 33417-8023

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Palm Beach Hospice and Palliative Care by MorselifeCCN 101560 · All quality measures
Ownership
Non-Profit
Certified
Jul 6, 2019
Medicare certification status
ActiveFrom the Provider of Services file

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
10D2155877Palm Beach Hospice & Palliative Care4847 David S Mack Dr, West Palm Beach, FL 33417Certificate of waiverOct 7, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Keith Myers Individual Corporate OfficerPresident and Ceo May 26, 2011
Alan Sadowsky Individual Corporate OfficerSr VP of Operations May 26, 2011
Morselife Health System, Inc Organization, West Palm Beach, FL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest May 26, 2011 100%
Thomas Swope Individual W-2 Managing EmployeeDirector May 7, 2018
Morselife Home Care Inc. Organization, West Palm Beach, FL Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 26, 2011 100%
Hong Chae Individual Corporate OfficerCfo May 26, 2011

Owners & managing parties with NPI records 1

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 8

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.

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1407335219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4847 DAVID MACK DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334178023",
            "telephone_number": "561-868-6573",
            "fax_number": "561-242-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4876 N MORSELIFE DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334178022",
            "telephone_number": "561-868-6573",
            "fax_number": "561-242-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORSELIFE HOSPICE INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "WOLAN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CFO / SR VP OF FINANCE",
        "authorized_official_telephone_number": "561-209-6108"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Beach Hospice by MorseLife",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.