NPIMap

Organization Active NPI

Hospice of the Calumet Area, Inc.

  • Community Based Hospice Care Agency
  • Lansing, IL
National Provider Identifier
1407919293
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2001006 Issued in IL
Legal business name
HOSPICE OF THE CALUMET AREA, INC.
Practice address
3224 Ridge Rd
Suite 202 & 203
Lansing, IL 60438-3129
Phone
(708) 895-8332
Fax
(219) 922-2732
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Adrianne May
Title
Executive Director
Phone
(708) 895-8332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2001006 IL Primary

Addresses

Primary practice location

3224 Ridge Rd
Suite 202 & 203
Lansing, IL 60438-3129

Mailing address

3224 Ridge Rd
Suite 202 & 203
Lansing, IL 60438-3129
Phone (708) 895-8332

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120312000679 IL Part A Provider - Hospice 8022277953 Practice locations: Lansing, IL

Hospice certification: CCN 141529

Legal name
HOSPICE OF THE CALUMET AREA, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 31, 1989
Last certification
May 19, 2022
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Apr 16, 1980 in IN
Enrollment address
3256 Ridge Rd
Ste 207
Lansing, IL 60438-3110

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of the Calumet Area IncCCN 141529
Ownership
Other
Certified
Aug 31, 1989
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Hospice of the Calumet Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3224 Ridge Rd
Ste 202
Lansing, IL 60438
Phone (708) 418-5543

3256 Ridge Rd
Ste 207
Lansing, IL 60438
Phone (708) 895-8332

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Lyle R Munn Individual Corporate Director Apr 10, 1983
W-2 Managing EmployeeMD; Jan 1, 1989
Adrianne May Individual Corporate OfficerCeo May 13, 2022
W-2 Managing EmployeeExecutive Director Mar 12, 2012
R L Gonzalez Individual Corporate OfficerVice President Jun 7, 2024
Corporate Director Mar 22, 2013
Eugene C Diamond Individual Corporate OfficerPresident Jun 5, 2020
Corporate Director May 14, 1993
Linda Delunas Individual Corporate Director Apr 22, 2005
Patricia Lazzaro Individual Corporate Officer Jun 1, 2016
Rebecca Grove Individual Corporate Director Jun 1, 2012
Dave Nellans Individual Corporate Director Nov 4, 1994
Richard Gaffigan Individual Corporate Director Jun 1, 2014
Kay L Nelson Individual Corporate OfficerSecretary Jun 5, 2020
Corporate Director Jan 26, 2018
Joanne Markiewicz Individual Corporate Director Sep 28, 2007
Linda Randolph Individual Corporate Director Sep 24, 2009
Peymon S Torabi Individual Corporate OfficerTreasurer Jun 5, 2020
Corporate Director Jan 26, 2018
Jeffrey Monberg Individual Corporate Director May 31, 2002
Donald Fesko Individual Corporate Director Feb 26, 2007
William Hasse Individual Corporate Director Jul 5, 1991
Hospice of the Calumet Area, Inc. Organization, Lansing, IL Other Mar 12, 2012
Rocharda Morris Individual Corporate Officer Jun 1, 2014

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice of the Calumet Area, Inc.Munster, IN, CCN 151500 Hospice Other Apr 16, 1980

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1407919293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 RIDGE RD",
            "address_2": "SUITE 202 & 203",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383129",
            "telephone_number": "708-895-8332",
            "fax_number": "219-922-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 RIDGE RD",
            "address_2": "SUITE 202 & 203",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383129",
            "telephone_number": "708-895-8332",
            "fax_number": "219-922-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF THE CALUMET AREA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "ADRIANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-895-8332"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "2001006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

Verify at the official NPI Registry.