Organization Active NPI

Wings of Hope Hospice and Palliative Care, Inc.

  • Community Based Hospice Care Agency
  • Allegan, MI
National Provider Identifier
1609871425
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
WINGS OF HOPE HOSPICE AND PALLIATIVE CARE, INC.
Practice address
530 Linn St
Allegan, MI 49010-1562
Phone
(269) 686-8659
Fax
(269) 686-9643
NPI assigned
Jun 17, 2005
Last updated
Jul 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Ms. Theresa Lynn
Title
Executive Director
Phone
(800) 796-2676

Specialties & licenses 1

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

Addresses

Primary practice location

530 Linn St
Allegan, MI 49010-1562

Mailing address

530 Linn St
Allegan, MI 49010-1562
Phone (269) 686-8659

Other identifiers 1

IdentifierTypeStateIssuer
2831251MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130516000658 MI Part A Provider - Hospice 7618114380 Practice locations: Allegan, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609871425. Details of each certification follow.

Hospice certification: CCN 231547

Legal name
WINGS OF HOPE HOSPICE AND PALLIATIVE CARE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 29, 1991
Last certification
Feb 10, 2022
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Feb 25, 1983 in MI
Enrollment address
530 Linn St
Allegan, MI 49010-1562

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Wings of Hope HospiceCCN 231547 · All quality measures
Ownership
Non-Profit
Certified
Oct 29, 1991
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Wings of Hope Hospice Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

530 Linn St
Ste A
Allegan, MI 49010

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Richard Godfrey Individual Corporate OfficerVice President Oct 29, 2015
James H Connell Individual Corporate Officer Dec 3, 2015
Sara Borrink Individual Corporate Officer Mar 1, 2018
Cheryl S Schulz Individual Corporate OfficerTreasurer Oct 25, 2012
Theresa Lynn Individual Corporate DirectorExecutive Director Jul 30, 2003 100%
W-2 Managing EmployeeExecutive Director Jul 3, 2003 100%
Dawn M Sherman Individual Corporate OfficerSecretary/ Administrator Jan 1, 2018
Theresa M Lynn Individual Corporate OfficerExecutive Director Jul 30, 2003
Diane L Barton Individual Corporate OfficerPresident, Board of Directors Mar 26, 2010
Kathy Chapman Individual Corporate OfficerBoard Member Mar 1, 2016
Wings of Hope Hospice and Palliative Care, Inc. Organization, Allegan, MI Non-profit 5% Or Greater Direct Ownership Interest Feb 25, 1992 100%
5% Or Greater Indirect Ownership Interest Feb 25, 1992 100%
5% Or Greater Mortgage Interest Feb 25, 1992 100%
5% Or Greater Security Interest Feb 25, 1992 100%
General Partnership Interest Feb 25, 1992 100%
Limited Partnership Interest Feb 25, 1992 100%
Operational/Managerial Control Feb 25, 1992 100%
Steven D Peterson Individual Corporate OfficerDirector of Finance Jul 23, 2008
Michael L Dozeman Individual Contracted Managing EmployeeMD; Jun 22, 2022
Pablo Martinez Individual Corporate Officer Jun 26, 2014

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 11

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 2

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": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1609871425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 LINN ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101562",
            "telephone_number": "269-686-8659",
            "fax_number": "269-686-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 LINN ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101562",
            "telephone_number": "269-686-8659",
            "fax_number": "269-686-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF HOPE HOSPICE AND PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "800-796-2676",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2831251",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allegan, MI

Sources for this page

Verify at the official NPI Registry.