Community Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMMUNITY HOSPICE, INC.

Practice address

181 W River Valley Drive
Newaygo, MI 49337-9330

Phone

(231) 689-6675

NPI assigned

Mar 3, 2022

Organization subpart

No

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

Authorized official

Name

Ruth Leestma

Title

Ceo

Phone

(941) 228-3551

Specialties & licenses 1

Addresses

Other names 1

• Harmony Hospice Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Hospice certification: CCN 231720

Legal name

COMMUNITY HOSPICE INC

Doing business as

HARMONY HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 16, 2023

Last certification

Nov 30, 2023

Organization structure

CorporationProprietary

Incorporated

Dec 14, 2016 in MI

Enrollment address

181 W River Valley Dr
Newaygo, MI 49337-9330

Listed as

Harmony HospiceCCN 231720 · All quality measures

Certified

Dec 16, 2023

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 4

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

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1407503048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W RIVER VALLEY DRIVE",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493379330",
            "telephone_number": "231-689-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W RIVER VALLEY DRIVE",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493379330",
            "telephone_number": "231-689-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "LEESTMA",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-228-3551"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harmony Hospice",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Harmony Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brooke Elizabeth Carter, PA-C
• Moriah Jo Christoffersen
• Robin Renee Clinton, LMT
• Rebecca Lynn Collins, CPHT
• Community Hospice, Inc
• Community Pace at Home, Inc
• Herminigilda Dadulia Delantar, PT
• Dentistry by the Dam PLLC
• Shelby Lynn Dodds, OTR/L
• Joyce Marie Dykstra, LLP

• Community Based Hospice Care Agency in Newaygo, MI
• Providers in Newaygo, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.