Active NPI
Allay Home and Hospice, Inc.
- Community Based Hospice Care Agency
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41538300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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).
-
dba Generations Hospice
- Community Based Hospice Care Agency
- Fond Du Lac, WI
- NPI 1710296405
0648372847
Care Compare: Hospice
Medicare Care Compare- Listed as
- Allay Hospice
- Ownership
- For-Profit
- Certified
- Jul 3, 2007
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D1065179 | Allay Home & Hospice Inc | Certificate of waiver | Feb 22, 2027 |
National Provider Directory
National Provider DirectoryMember 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jay Koeper | Corporate Officer | Jul 14, 2023 | |
| Corporate Director | Jul 14, 2023 | ||
| Jennifer Phipps | Corporate Officer | Jul 22, 2022 | |
| Walgreen Co | 5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 20% |
| Steve I Chang | Contracted Managing Employee | Jun 1, 2022 | |
| Silverton Abode Holding Corporation | 5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 100% |
| Jodi Pfeil | W-2 Managing Employee | Apr 14, 2013 | |
| Margaret Sherry Pemberton | Corporate Officer | Sep 2, 2021 | |
| Corporate Director | Sep 2, 2021 | ||
| Brightspring Health Holdings Corp | 5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 100% |
| Silverton Intermediate Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 100% |
| Phoenix Guarantor Inc. | 5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 100% |
| Res-Care Inc | 5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 100% |
| Silverton Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 100% |
| Phoenix Intermediate Holdings Inc. | 5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 100% |
| Abode Healthcare, Inc. | 5% Or Greater Direct Ownership Interest | Sep 2, 2021 | 100% |
| Walgreens Holding Company | 5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 20% |
| Brightspring Health Services Inc | 5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 100% |
| KKR Phoenix Aggregator L.P. | 5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 48% |
| KKR Americas Fund XII LP | 5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 42% |
| Michael a McMaude | Corporate Officer | Sep 2, 2021 | |
| Corporate Director | Sep 2, 2021 | ||
| Silverton Abode, LLC | 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.
-
- Internal Medicine Physician
- New Berlin, WI
- NPI 1295897569
Contracted Managing Employee
Facilities with the same owner 151
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Generations Hospice
- Community Based Hospice Care Agency
- Fond Du Lac, WI
- NPI 1710296405
Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C
-
dba Adoration Home Health Brownsville
- Home Health Agency
- Brownsville, TN
- NPI 1639659675
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreens Holding Company
-
dba Adoration Home Health
- Home Health Agency
- Knoxville, TN
- NPI 1255811295
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc
-
dba Adoration Home Health Martin
- Home Health Agency
- Martin, TN
- NPI 1093295040
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company
-
dba Adoration Home Health McMinnville
- Home Health Agency
- McMinnville, TN
- NPI 1275013229
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company
-
dba Adoration Home Health Nashville South
- Home Health Agency
- Brentwood, TN
- NPI 1346720398
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company
-
dba Abode Hospice of Colorado
- Community Based Hospice Care Agency
- Colorado Springs, CO
- NPI 1326459025
Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C
-
dba Abode Hospice of Pueblo
- Community Based Hospice Care Agency
- Pueblo, CO
- NPI 1861097982
Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C
-
dba Abode Hospice of Colorado
- Community Based Hospice Care Agency
- Lakewood, CO
- NPI 1427469113
Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C
-
dba Abode Hospice of Colorado
- Community Based Hospice Care Agency
- Grand Junction, CO
- NPI 1447611512
Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C
-
dba Hospice of the Midwest
- Community Based Hospice Care Agency
- Woodbury, MN
- NPI 1538552757
Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C
-
dba Haven Hospice
- Community Based Hospice Care Agency
- Gainesville, FL
- NPI 1154162857
Abode Healthcare, Inc., Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding Corporation, Silverton Abode, LLC
Practitioners & affiliated clinicians
Affiliated clinicians 10
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- West Allis, WI
- NPI 1407011497
Hospice
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.