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Hospice of Michigan, Inc.

Organization Active NPI Community Based Hospice Care Agency · Big Rapids, MI

NPI 1497790323 · NPPES record last updated Nov 26, 2024

Key facts

NPI
1497790323
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
Legal business name
HOSPICE OF MICHIGAN, INC.
Practice address
400 Perry Ave
Big Rapids, MI 49307-2246
Phone
(231) 796-7371
NPI assigned
Jun 17, 2006
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 4

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

Owned or controlled facilities with NPI records 4

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

Other NPIs with the same Medicare PAC ID 3

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

Corporate family (same tax ID) 3

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

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Facilities with the same owner 4

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

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 29

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

View all 29

Medicare Care Compare: Hospice

Listed as
Hospice of Mecosta County CCN 231556
Ownership
Non-Profit
Certified
Apr 8, 1993
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2086550Hospice of Michigan, Inc
400 Perry Ave, Big Rapids, MI 49307		Certificate of waiverNov 5, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

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
Corporation · Non-profit
Incorporated
Oct 20, 1978 in MI
Enrollment address
400 Perry Ave
Big Rapids, MI 49307-2246

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 Director
Board Member		 Jan 1, 2018
Bradley Killaly
Individual 		Corporate Director
Board Member		 Feb 22, 2023
Marcie M Hillary
Individual 		Corporate Officer
Chief Experience Officer		 Jan 26, 2011
Patrick Miller
Individual 		Corporate Officer
Chief Executive Officer/President		 Mar 6, 2014
Corporate Director
Chief Executive Officer/President		 Jan 1, 2024
Brian M Connolly
Individual 		Corporate Director
Board Member		 Feb 15, 2012
Mark a Zook
Individual 		W-2 Managing Employee
Medical Director		 Mar 25, 1995
Eric Kaplan
Individual 		Corporate Officer
Vice President		 May 1, 2025
Lee Ann Myers
Individual 		Corporate Officer
Chief Administrative Officer		 Jan 1, 2012
W-2 Managing Employee Jan 1, 2012
Molly Petersen
Individual 		Corporate Director
Board Member		 Aug 1, 2025
Krista Newman
Individual 		Corporate Officer
Chief Operating Officer		 Jan 1, 2024
Mary Sanders
Individual 		Corporate Director
Board 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 Director
Board Member		 Nov 12, 2009
Steven C Wade
Individual 		Corporate Director
Board Member		 Jan 1, 2024
John Evangelisita
Individual 		Corporate Director
Board Member		 Jan 1, 2014
Gerald Fitzgerald
Individual 		Corporate Director
Board Member		 Dec 1, 2007
Joanna Szejbach
Individual 		W-2 Managing Employee
Ad;		 Sep 12, 2021
John Raymond Maurer
Individual 		Corporate Director
Board Member		 Sep 9, 2005
Jane McNamara
Individual 		Corporate Director
Board Member		 Sep 9, 2005
Nancy Lynn Philappart
Individual 		Corporate Director
Board Member		 Jan 1, 2024
Jamie L Cockerel
Individual 		Corporate Officer
Chief Financial Officer		 May 1, 2025
Michael a Jones
Individual 		Corporate Director
Board Member		 Aug 1, 2025

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, Inc
Southfield, MI · CCN 231501		 Hospice Operational/Managerial Control (100%) Sep 30, 1994
Centrica Care Navigators
Kalamazoo, 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 Care
Ann Arbor, MI · CCN 231526		 Hospice 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2016

Medicare enrollment records

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

National Provider Directory

Tax ID family
Hospice of Michigan Inc (4 organizations share this tax ID)

Locations

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

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

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

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

932 N Mitchell St
Cadillac, MI 49601
Phone (231) 272-2349

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

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

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

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

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

3995 Fashion Square Blvd
Ste 1
Saginaw, MI 48603
Phone (989) 790-4165

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

10850 E Traverse Hwy
Ste 1155
Traverse City, MI 49684
Phone (231) 268-0013

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

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
08757OtherMIBLUE CROSS BLUE SHIELD
151796120MedicaidMI

Other names

  • Hospice of Mecosta County Doing business as

Other providers in Big Rapids, MI

All providers in Big Rapids, MI · Community Based Hospice Care Agency in Michigan

Sources for this page

Verify at the official NPI Registry.