NPIMap

Organization Active NPI

Hospice of Michigan, Inc.

Doing business as Hospice of Mecosta County

  • Community Based Hospice Care Agency
  • Big Rapids, MI
National Provider Identifier
1497790323
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE OF MICHIGAN, INC.
Doing business as
Hospice of Mecosta County
Practice address
400 Perry Ave
Big Rapids, MI 49307-2246
Phone
(231) 796-7371
NPI assigned
Jun 17, 2006
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 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 1

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

Addresses

Primary practice location

400 Perry Ave
Big Rapids, MI 49307-2246

Mailing address

2366 Oak Valley Dr
Ann Arbor, MI 48103-8944
Phone (231) 796-7371

Other practice location 1

5177 W US Highway 10 # B
Ludington, MI 49431-7620
Phone (231) 845-0322

Other practice location 2

10850 E Traverse Hwy Ste 3325
Traverse City, MI 49684-1366
Phone (231) 929-1535

Other practice location 3

932 N Mitchell St
Cadillac, MI 49601-1285
Phone (231) 779-9572

Other names 1

  • Hospice of Mecosta County Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050702000011 MI Part A Provider - Hospice 5496723660 Practice locations: Traverse City, MI; Ludington, MI; Cadillac, MI; Big Rapids, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497790323. Details of each certification follow.

Hospice certification: CCN 231556

Legal name
HOSPICE OF MICHIGAN, INC.
Doing business as
HOSPICE OF MECOSTA COUNTY
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 8, 1993
Last certification
Oct 20, 2017
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Oct 20, 1978 in MI
Enrollment address
400 Perry Ave
Big Rapids, MI 49307-2246

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of Mecosta CountyCCN 231556 · All quality measures
Ownership
Non-Profit
Certified
Apr 8, 1993
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
23D2086550Hospice of Michigan, Inc400 Perry Ave, Big Rapids, MI 49307Certificate of waiverNov 5, 2026

National Provider Directory

National Provider Directory
Tax ID family
Hospice of Michigan Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

112 W Chisholm St
Alpena, MI 49707
Phone (517) 354-5258

145 N State Ave
Alpena, MI 49707
Phone (989) 356-4126

199 Long Rapids Rd
Alpena, MI 49707
Phone (989) 356-6191

2090 S Main St
Bldg 3
Ann Arbor, MI 48103
Phone (734) 769-4212

555 Briarwood Cir
Ste 140
Ann Arbor, MI 48108
Phone (734) 769-4524

400 Perry Ave
Big Rapids, MI 49307
Phone (231) 796-7371

2525 S Telegraph Rd
Ste 100
Bloomfield Hills, MI 48302
Phone (248) 253-2580

201 State St
Ste 7
Charlevoix, MI 49720
Phone (888) 247-5701

44720 Hayes Rd
Ste 100
Clinton Township, MI 48038
Phone (586) 226-2922

44750 Hayes Rd
Clinton Township, MI 48037
Phone (586) 226-2922

37399 Garfield Rd
Ste 208
Clinton Twp, MI 48036
Phone (586) 263-8854

39531 Garfield Rd
Clinton Twp, MI 48038
Phone (248) 677-1890

128 N Court Ave
Gaylord, MI 49735
Phone (989) 448-2328

115 Clover St
Ste 300
Holland, MI 49423
Phone (248) 209-9678

5177 W US Highway 10
#B
Ludington, MI 49431
Phone (231) 845-0322

1675 E Mount Garfield Rd
Ste 175
Muskegon, MI 49444
Phone (231) 773-5394

26957 Northwestern Hwy
Ste 140
Southfield, MI 48033
Phone (248) 353-2070

9333 Telegraph Rd
Taylor, MI 48180
Phone (313) 291-9700

10850 E Traverse Hwy
Ste 3325
Traverse City, MI 49684
Phone (231) 929-1535

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 Feb 22, 2023
Marcie M Hillary Individual Corporate OfficerChief Experience Officer Jan 26, 2011
Patrick Miller Individual Corporate OfficerChief Executive Officer/President Mar 6, 2014
Corporate DirectorChief Executive Officer/President Jan 1, 2024
Brian M Connolly Individual Corporate DirectorBoard Member Feb 15, 2012
Mark a Zook Individual W-2 Managing EmployeeMedical Director Mar 25, 1995
Eric Kaplan Individual Corporate OfficerVice President May 1, 2025
Lee Ann Myers Individual Corporate OfficerChief Administrative Officer Jan 1, 2012
W-2 Managing Employee Jan 1, 2012
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 Sep 9, 2005
Hospice of Michigan, Inc. Organization, Ann Arbor, MI Non-profit Operational/Managerial Control Sep 30, 1994 100%
Kurt Ludlow Individual Corporate DirectorBoard Member Nov 12, 2009
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 Dec 1, 2007
Joanna Szejbach Individual W-2 Managing EmployeeAd; Sep 12, 2021
John Raymond Maurer Individual Corporate DirectorBoard Member Sep 9, 2005
Jane McNamara Individual Corporate DirectorBoard Member Sep 9, 2005
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 4

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

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Hospice of Southeastern Michigan, IncSouthfield, MI, CCN 231501 Hospice Operational/Managerial Control (100%) Sep 30, 1994
Centrica Care NavigatorsKalamazoo, MI, CCN 231505 Hospice Operational/Managerial Control Feb 1, 2024
Hospice of Western Michigan, Inc.Ada, MI, CCN 231510 Hospice Operational/Managerial Control (100%) Jan 1, 1987
Arbor Hospice and Home CareAnn Arbor, MI, CCN 231526 Hospice 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2016

Owned or controlled facilities with NPI records 4

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 8

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 29

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1497790323",
    "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": "231-796-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PERRY AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072246",
            "telephone_number": "231-796-7371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5177 W US Highway 10 # B",
            "address_purpose": "LOCATION",
            "city": "Ludington",
            "state": "MI",
            "postal_code": "494317620",
            "country_code": "US",
            "telephone_number": "231-845-0322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10850 E Traverse Hwy Ste 3325",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496841366",
            "country_code": "US",
            "telephone_number": "231-929-1535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "932 N Mitchell St",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496011285",
            "country_code": "US",
            "telephone_number": "231-779-9572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOSPICE OF MICHIGAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-25",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice of Mecosta County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hospice of Mecosta County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Big Rapids, MI

Sources for this page

Verify at the official NPI Registry.