NPIMap

Organization Active NPI

Lutheran Home Care Agency, Inc.

Doing business as Lutheran Home Care - Hospice of Hope

  • Community Based Hospice Care Agency
  • Frankenmuth, MI
National Provider Identifier
1467456434
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
733513 Issued in MI
Legal business name
LUTHERAN HOME CARE AGENCY, INC.
Doing business as
Lutheran Home Care - Hospice of Hope
Practice address
100 Mayer Road
Frankenmuth, MI 48734-9502
Phone
(989) 652-4663
Fax
(989) 652-3279
NPI assigned
Jun 8, 2005
Last updated
Feb 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Lynn Maurer, RN
Title
Executive Director
Phone
(989) 652-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 733513 MI Primary

Addresses

Primary practice location

100 Mayer Road
Frankenmuth, MI 48734-9502

Mailing address

100 Mayer Road
Frankenmuth, MI 48734-9502
Phone (989) 652-4663

Other identifiers 3

IdentifierTypeStateIssuer
0989890OtherMIHEALTH PLUS INS. - PROV #
71010000008787OtherMIBCBS INS.-PROV #
4151424MedicaidMI

Other names 1

  • Lutheran Home Care - Hospice of Hope Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130521000365 MI Part A Provider - Hospice 5991617045 Practice locations: Frankenmuth, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467456434. Details of each certification follow.

Hospice certification: CCN 231587

Legal name
LUTHERAN HOME CARE AGENCY, INC.
Doing business as
WELLSPRING LUTHERAN SERVICES
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 20, 1999
Last certification
Mar 10, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 16, 1992 in MI
Enrollment address
100 Mayer Rd
Frankenmuth, MI 48734-1334

Care Compare: Hospice

Medicare Care Compare
Listed as
Wellspring Lutheran ServicesCCN 231587 · All quality measures
Ownership
Non-Profit
Certified
Aug 20, 1999
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.

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Amy E Storms Individual Corporate OfficerCfo Apr 1, 2009
W-2 Managing Employee Apr 1, 2009
Paul F Nyquist Individual Corporate DirectorBoard Member Jan 27, 2014
David M Gehm Individual Corporate OfficerCeo Jan 15, 1994
W-2 Managing EmployeeCeo Jan 15, 1994
Peter Bender Individual Corporate DirectorBoard Member Jun 1, 2012 9%
Carl H Schoenow Individual Corporate DirectorBoard Member Nov 24, 2014
Darrell R Zolton Individual Corporate DirectorBoard Member Jun 1, 2010 9%
Ritch Randall Cushway Individual Corporate DirectorBoard Member May 9, 2013
Amy Sue Benko Individual Corporate DirectorBoard Member Apr 4, 2016
Michael J Logan Individual Corporate OfficerSVP/Coo Senior Services Jan 13, 2014
W-2 Managing EmployeeSVP/Coo Senior Services Jan 13, 2014
Lutheran Homes of Michigan, Inc Organization, Flint, MI Corporation 5% Or Greater Direct Ownership Interest Nov 16, 1992 100%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1467456434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAYER ROAD",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487349502",
            "telephone_number": "989-652-4663",
            "fax_number": "989-652-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAYER ROAD",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487349502",
            "telephone_number": "989-652-4663",
            "fax_number": "989-652-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HOME CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "989-652-4663",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": "733513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS INS. - PROV #",
            "identifier": "0989890",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INS.-PROV #",
            "identifier": "71010000008787",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4151424",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutheran Home Care - Hospice of Hope",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frankenmuth, MI

Sources for this page

Verify at the official NPI Registry.