Organization Active NPI

Allay Home and Hospice, Inc.

  • Community Based Hospice Care Agency
  • Brookfield, WI
National Provider Identifier
1407992985
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ALLAY HOME AND HOSPICE, INC.
Practice address
325 N. Corporate Dr.
Suite 260
Brookfield, WI 53045
Phone
(262) 787-2980
Fax
(262) 787-2981
NPI assigned
Jan 30, 2007
Last updated
Apr 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Kevin McDaniel
Title
Secretary
Phone
(256) 810-1079

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

325 N. Corporate Dr.
Suite 260
Brookfield, WI 53045

Mailing address

325 N. Corporate Dr.
Suite 260
Brookfield, WI 53045
Phone (262) 787-2980

Other identifiers 1

IdentifierTypeStateIssuer
41538300MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070219000319 WI Part A Provider - Hospice 0648372847 Practice locations: Brookfield, WI; Jackson, WI; Sheboygan, WI; Waterford, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407992985. Details of each certification follow.

Hospice certification: CCN 521583

Legal name
ALLAY HOME AND HOSPICE INC
Doing business as
ALLAY HOME & HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 3, 2007
Last certification
Apr 20, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Feb 23, 2007 in WI
Enrollment address
325 N Corporate Dr
Ste 260
Brookfield, WI 53045-5828

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Allay HospiceCCN 521583 · All quality measures
Ownership
For-Profit
Certified
Jul 3, 2007
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
52D1065179Allay Home & Hospice Inc325 N Corporate Dr, Ste #260, Brookfield, WI 53045Certificate of waiverFeb 22, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

805 N Whittington Pkwy
Ste 4
Louisville, KY 40222

325 N Corporate Dr
Ste 260
Brookfield, WI 53045
Phone (262) 787-2980

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Jay Koeper Individual Corporate OfficerSecretary Jul 14, 2023
Corporate DirectorBoard Member Jul 14, 2023
Jennifer Phipps Individual Corporate OfficerTreasurer Jul 22, 2022
Walgreen Co Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 20%
Steve I Chang Individual Contracted Managing EmployeeMD; Jun 1, 2022
Silverton Abode Holding Corporation Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 100%
Jodi Pfeil Individual W-2 Managing EmployeeAd; Apr 14, 2013
Margaret Sherry Pemberton Individual Corporate OfficerVice President Sep 2, 2021
Corporate DirectorBoard Member Sep 2, 2021
Brightspring Health Holdings Corp Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 100%
Silverton Intermediate Holdings, Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 100%
Phoenix Guarantor Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 100%
Res-Care Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 100%
Silverton Holdings, Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 100%
Phoenix Intermediate Holdings Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 100%
Abode Healthcare, Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Direct Ownership Interest Sep 2, 2021 100%
Walgreens Holding Company Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 20%
Brightspring Health Services Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 100%
KKR Phoenix Aggregator L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 48%
KKR Americas Fund XII LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 42%
Michael a McMaude Individual Corporate OfficerPresident Sep 2, 2021
Corporate DirectorBoard Member Sep 2, 2021
Silverton Abode, LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 100%

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 151

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

View all 151

Practitioners & affiliated clinicians

Affiliated clinicians 10

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1407992985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N. CORPORATE DR.",
            "address_2": "SUITE 260",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53045",
            "telephone_number": "262-787-2980",
            "fax_number": "262-787-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N. CORPORATE DR.",
            "address_2": "SUITE 260",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53045",
            "telephone_number": "262-787-2980",
            "fax_number": "262-787-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAY HOME AND HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "256-810-1079"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41538300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.