NPIMap

Organization Active NPI

Arbor Hospice, Inc.

Doing business as Arbor Hospice and Home Care

  • Community Based Hospice Care Agency
  • Ann Arbor, MI
National Provider Identifier
1447256003
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ARBOR HOSPICE, INC.
Doing business as
Arbor Hospice and Home Care
Practice address
2366 Oak Valley Dr
Ann Arbor, MI 48103-8944
Phone
(734) 662-5999
Fax
(734) 662-9000
NPI assigned
Jun 28, 2005
Last updated
Dec 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Lee Ann Myers
Title
Chief Administrative Officer
Phone
(313) 578-6244

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X Primary
Nursing Facility/Intermediate Care Facility 313M00000X 814140 MI

Addresses

Primary practice location

2366 Oak Valley Dr
Ann Arbor, MI 48103-8944

Mailing address

2366 Oak Valley Dr
Ann Arbor, MI 48103-8944
Phone (888) 992-2273

Other identifiers 9

IdentifierTypeStateIssuer
009529OtherMIMIDWEST HEALTH PLAN
1931397MedicaidMI
100125OtherMICARE CHOICES
4076348MedicaidMI
123952OtherMIGREAT LAKES HEALTH PLAN
HS810003OtherMIMCARE
08713OtherMIBLUE CROSS HOSPICE
000000005460OtherMICAPE HEALTH PLAN
P08713OtherMIBLUE CARE NETWORK

Other names 2

  • Arbor Hospice and Home Care Doing business as
  • Personalized Nursing Service, Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060228000549 MI Part A Provider - Hospice 8628097920 Practice locations: Ann Arbor, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447256003. Details of each certification follow.

Hospice certification: CCN 231526

Legal name
ARBOR HOSPICE, INC.
Doing business as
ARBOR HOSPICE AND HOME CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 25, 1988
Last certification
May 1, 2014
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Jun 11, 1984 in MI
Enrollment address
2366 Oak Valley Dr
Ann Arbor, MI 48103-8944

Care Compare: Hospice

Medicare Care Compare
Listed as
Arbor HospiceCCN 231526 · All quality measures
Ownership
Non-Profit
Certified
Mar 25, 1988
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

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

Locations

401 W Oakbrook Dr
Ann Arbor, MI 48103
Phone (734) 747-8800

331 N Center St
Northville, MI 48167
Phone (248) 348-4980

440 W Russell St
Ste 100
Saline, MI 48176
Phone (734) 662-5999

650 Woodland Dr
Saline, MI 48176
Phone (734) 429-7600

21647 Allen Rd
Woodhaven, MI 48183
Phone (734) 692-5979

8380 Geddes Rd
Ypsilanti, MI 48198
Phone (734) 547-7600

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Michael L Damstra Individual Corporate DirectorBoard Member Jan 1, 2018
Bradley Killaly Individual Corporate DirectorBoard Member Jan 1, 2017
Marcie M Hillary Individual Corporate OfficerChief Experience Officer Jan 1, 2017
Patrick Miller Individual Corporate OfficerChief Executive Officer/President Jan 1, 2016
Corporate DirectorBoard Member Jan 1, 2024
Brian M Connolly Individual Corporate DirectorBoard Member Jan 1, 2017
Eric Kaplan Individual Corporate OfficerVice President May 1, 2025
Lee Ann Myers Individual Corporate OfficerChief Administrative Officer Jan 1, 2016
Molly Petersen Individual Corporate DirectorBoard Member Aug 1, 2025
Krista Newman Individual Corporate OfficerChief Operating Officer Jan 1, 2024
Mary Sanders Individual Corporate DirectorBoard Member Jan 1, 2019
Hospice of Michigan, Inc. Organization, Ann Arbor, MI Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2016 100%
Sarah Posa Individual W-2 Managing EmployeeAd; Aug 1, 2025
Kurt Ludlow Individual Corporate DirectorBoard Member Jan 1, 2019
Victoria M Tarazi Individual W-2 Managing EmployeeMD; Aug 1, 2025
Steven C Wade Individual Corporate DirectorBoard Member Jan 1, 2024
John Evangelisita Individual Corporate DirectorBoard Member Jan 1, 2014
Gerald Fitzgerald Individual Corporate DirectorBoard Member Jan 1, 2017
John Raymond Maurer Individual Corporate DirectorBoard Member Jan 1, 2019
Jane McNamara Individual Corporate DirectorBoard Member Jan 1, 2020
Nancy Lynn Philappart Individual Corporate DirectorBoard Member Jan 1, 2024
Jamie L Cockerel Individual Corporate OfficerChief Financial Officer May 1, 2025
Michael a Jones Individual Corporate DirectorBoard Member Aug 1, 2025

Owners & managing parties with NPI records 5

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 2

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 12

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": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1447256003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2366 OAK VALLEY DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038944",
            "telephone_number": "888-992-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2366 OAK VALLEY DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038944",
            "telephone_number": "734-662-5999",
            "fax_number": "734-662-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "LEE ANN",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "313-578-6244"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MI",
            "license": "814140",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST HEALTH PLAN",
            "identifier": "009529",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1931397",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "100125",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4076348",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "123952",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "HS810003",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS HOSPICE",
            "identifier": "08713",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPE HEALTH PLAN",
            "identifier": "000000005460",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P08713",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Hospice and Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Personalized Nursing Service, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Personalized Nursing Service, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.