NPIMap

Edward W. Sparrow Hospital Association

Organization Active NPI Inpatient Hospice · Lansing, MI

NPI 1619089539 · NPPES record last updated Jul 10, 2024

Key facts

NPI
1619089539
Entity type
Organization (NPI type 2)
Primary specialty
Inpatient Hospice 315D00000X
Legal business name
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Practice address
1210 W. Saginaw Street
Lansing, MI 48915-1999
Phone
(517) 364-7200
Fax
(517) 364-7201
NPI assigned
Aug 31, 2006
Organization subpart
Yes
Parent organization (as reported)
SPARROW HEALTH SYSTEM

Authorized official

Name
Misty Gunter Russian
Title
Supervisor, Provider Enrollment
Phone
(517) 253-6308

Other NPIs with the same Medicare PAC ID 19

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Facilities with the same owner 19

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

Practitioners 699

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

View all 699

Affiliated clinicians 3

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

Medicare Care Compare: Hospice

Listed as
Sparrow Hospice Services CCN 231519
Ownership
Non-Profit
Certified
Jan 23, 1987
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Hospice certification: CCN 231519

Legal name
EDWARD W SPARROW HOSPITAL ASSOCIATION
Doing business as
UNIVERSITY OF MICHIGAN HEALTH-SPARROW
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 23, 1987
Last certification
Dec 21, 2005
Ownership / control type
Non-Profit - Private
Organization structure
Corporation · Proprietary
Incorporated
Jan 1, 1990 in MI
Enrollment address
1210 W Saginaw St
Lansing, MI 48915-1927

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Um Health
Organization · Ann Arbor, MI
Corporation, Non-profit, Owned by another organization or individual 		5% Or Greater Indirect Ownership Interest Apr 1, 2023 100%
Regents of the University of Michigan
Organization · Ann Arbor, MI
Corporation, Non-profit 		5% Or Greater Indirect Ownership Interest Apr 1, 2023 100%
Craig Clarady
Individual 		W-2 Managing Employee Jan 1, 2010
Anthony Budzinski
Individual 		Corporate Director Aug 26, 2004
W-2 Managing Employee Dec 1, 2002
Margaret a Dimond
Individual 		Corporate Officer
President/Ceo		 Jan 1, 2024
W-2 Managing Employee
President/Ceo		 Jan 1, 2024
Misty Gunter Russian
Individual 		W-2 Managing Employee
Supervisor, Provider Enrollment		 Jan 1, 2024
Sparrow Health System
Organization · Lansing, MI
Corporation, Non-profit, Owned by another organization or individual 		5% Or Greater Direct Ownership Interest Aug 26, 2004 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040716000155 MI Part a Provider - Hospice 6709799166 Practice locations: Lansing, MI

National Provider Directory

Part of
Sparrow Health System

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X
Inpatient Hospice 315D00000X Yes

Addresses

Primary practice location

1210 W. Saginaw Street
Lansing, MI 48915-1999

Mailing address

8175 Reliable Pkwy
Chicago, IL 60686-0081
Phone (517) 364-6000

Other names

  • Sparrow Hospice Services Doing business as
  • University of Michigan Health-Sparrow Hospice Doing business as

Other providers in Lansing, MI

All providers in Lansing, MI · Inpatient Hospice in Michigan

Sources for this page

Verify at the official NPI Registry.