John Paul Home Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

JOHN PAUL HOME HOSPICE LLC

Practice address

30800 Telegraph Rd Ste 3700
Bingham Farms, MI 48025-4583

Phone

(248) 731-7457

NPI assigned

Jun 1, 2020

Last updated

Mar 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jason Growe

Title

Ceo

Phone

(314) 440-3453

Specialties & licenses 1

Addresses

Other names 1

• John Paul Home Hospice LLC Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568086056. Details of each certification follow.

• CCN 231686 Hospice · Active · Details

Hospice certification: CCN 231686

Legal name

JOHN PAUL HOME HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 29, 2021

Last certification

Jun 29, 2021

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Incorporated

Jun 1, 2020 in MI

Enrollment address

30800 Telegraph Rd
Ste 3700
Bingham Farms, MI 48025-4583

Listed as

John Paul Home HospiceCCN 231686 · All quality measures

Ownership

For-Profit

Certified

Jun 29, 2021

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 11

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

Owners & managing parties with NPI records 2

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

• James Robert Tisius III, M.D.

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1609122084

  W-2 Managing Employee

  CMS ownership
• Ramneet Bhathal, M.D.

  • Family Medicine Physician
  • Milwaukee, WI
  • NPI 1508129545

  W-2 Managing Employee

  CMS ownership

Facilities with the same owner 9

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

• Experts in Home Health Management, LLC

  • Home Health Agency
  • Eastpointe, MI
  • NPI 1134128291

  Bpea VI LP, Camino Partners Ventures LLC, Encore Investment Group LLC, Encore Partners Home Health LP, Livewell Partners Holdings Inc, Livewell Partners Ultimate Holdings, LLC, Livewell Topco Inc.

  CMS ownership
• John Paul Home Care, LLC

  • Home Health Agency
  • Bingham Farms, MI
  • NPI 1609896208

  Bpea VI LP, Camino Partners Ventures LLC, Encore Investment Group LLC, Encore Partners Home Health LP, Livewell Partners Holdings Inc, Livewell Partners Ultimate Holdings, LLC, Livewell Topco Inc.

  CMS ownership
• About You Palliative Care & Hospice, LLC

  • Community Based Hospice Care Agency
  • Wichita, KS
  • NPI 1801489158

  Bpea VI LP, Camino Partners Ventures LLC, Encore Investment Group LLC, Encore Partners Home Health LP, Livewell Partners Holdings Inc, Livewell Partners Ultimate Holdings, LLC, Livewell Topco Inc.

  CMS ownership
• Apollo Medical Holdings LLC

  dba Empower Home Health Services

  • Home Health Agency
  • West Dundee, IL
  • NPI 1023803228

  Bpea VI LP, Camino Partners Ventures LLC, Encore Investment Group LLC, Encore Partners Home Health LP, Livewell Partners Holdings Inc, Livewell Partners Ultimate Holdings, LLC, Livewell Topco Inc.

  CMS ownership
• Apollo Medical Holdings LLC

  • Home Health Agency
  • Saint Louis, MO
  • NPI 1811432180

  Bpea VI LP, Camino Partners Ventures LLC, Encore Investment Group LLC, Encore Partners Home Health LP, Livewell Partners Holdings Inc, Livewell Partners Ultimate Holdings, LLC, Livewell Topco Inc.

  CMS ownership
• Core Home Health Agency LLC

  dba Specialized Home Care

  • Home Health Agency
  • Wichita, KS
  • NPI 1194493569

  Bpea VI LP, Camino Partners Ventures LLC, Encore Investment Group LLC, Encore Partners Home Health LP, Livewell Partners Holdings Inc, Livewell Partners Ultimate Holdings, LLC, Livewell Topco Inc.

  CMS ownership
• Core Home Health Agency LLC

  dba Specialized Home Care

  • Home Health Agency
  • Independence, MO
  • NPI 1427478213

  Bpea VI LP, Camino Partners Ventures LLC, Encore Investment Group LLC, Encore Partners Home Health LP, Livewell Partners Holdings Inc, Livewell Partners Ultimate Holdings, LLC, Livewell Topco Inc.

  CMS ownership
• Core Home Health Agency LLC

  dba Specialized Home Care

  • Home Health Agency
  • Leawood, KS
  • NPI 1427691849

  Bpea VI LP, Camino Partners Ventures LLC, Encore Investment Group LLC, Encore Partners Home Health LP, Livewell Partners Holdings Inc, Livewell Partners Ultimate Holdings, LLC, Livewell Topco Inc.

  CMS ownership
• Hope Home Care, LLC

  • Home Health Agency
  • Dayton, OH
  • NPI 1902170764

  Bpea VI LP, Camino Partners Ventures LLC, Encore Investment Group LLC, Livewell Partners Holdings Inc, Livewell Partners Ultimate Holdings, LLC, Livewell Topco Inc.

  CMS ownership

Affiliated clinicians 2

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

• James Robert Tisius III, M.D.

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1609122084

  Hospice

  Care Compare affiliation
• Ramneet Bhathal, M.D.

  • Family Medicine Physician
  • Milwaukee, WI
  • NPI 1508129545

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1568086056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30800 TELEGRAPH RD STE 3700",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254583",
            "telephone_number": "248-731-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30800 TELEGRAPH RD STE 3700",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254583",
            "telephone_number": "248-731-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN PAUL HOME HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "GROWE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-440-3453",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "other",
            "affiliation": "N",
            "address_1": "30800 Telegraph Rd Ste 3700",
            "city": "Bingham Farms",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480254583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "John Paul Home Hospice LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "John Paul Home Hospice LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jerry Nosanchuk DO PLLC
• Jennifer Jeshurun, DPT
• Fatimah Jobeh
• Sanu John Mathew
• John Paul Home Care, LLC
• Devyn Johns
• Anastasia B Johnson
• Aysha Z Johnson
• Brittaney Nakole Johnson, M.ED
• Christopher Johnson

• Community Based Hospice Care Agency in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.

Verify at the official NPI Registry.