Organization Active NPI

Edward W. Sparrow Hospital Association

Doing business as Sparrow Hospice Services

  • Inpatient Hospice
  • Lansing, MI
National Provider Identifier
1619089539
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
Legal business name
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Doing business as
Sparrow Hospice Services
University of Michigan Health-Sparrow Hospice
Practice address
1210 W. Saginaw Street
Lansing, MI 48915-1999
Phone
(517) 364-7200
Fax
(517) 364-7201
NPI assigned
Aug 31, 2006
Last updated
Jul 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SPARROW HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

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

Specialties & licenses 2

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

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 2

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

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619089539. Details of each certification follow.

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
CorporationProprietary
Incorporated
Jan 1, 1990 in MI
Enrollment address
1210 W Saginaw St
Lansing, MI 48915-1927

Other NPIs with the same Medicare PAC ID 19

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

View all 19

Care Compare: Hospice

Medicare Care Compare
Listed as
Sparrow Hospice ServicesCCN 231519 · All quality measures
Ownership
Non-Profit
Certified
Jan 23, 1987
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Sparrow Health System

Member of 1

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

Ownership & related parties

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 OfficerPresident/Ceo Jan 1, 2024
W-2 Managing EmployeePresident/Ceo Jan 1, 2024
Misty Gunter Russian Individual W-2 Managing EmployeeSupervisor, 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%

Facilities with the same owner 19

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

View all 19

Practitioners & affiliated clinicians

Practitioners 1

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 3

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1619089539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8175 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860081",
            "telephone_number": "517-364-6000",
            "fax_number": "517-364-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W. SAGINAW STREET",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489151999",
            "telephone_number": "517-364-7200",
            "fax_number": "517-364-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD W. SPARROW HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARROW HEALTH SYSTEM",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "RUSSIAN",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "GUNTER",
        "authorized_official_title_or_position": "SUPERVISOR, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "517-253-6308"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparrow Hospice Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University of Michigan Health-Sparrow Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.