NPIMap

Organization Active NPI

Brighton Hospice Grand Rapids LLC

  • Community Based Hospice Care Agency
  • Grand Rapids, MI
National Provider Identifier
1679306880
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BRIGHTON HOSPICE GRAND RAPIDS LLC
Practice address
3033 Orchard Vista Dr SE
Grand Rapids, MI 49546-7077
Phone
(801) 996-3217
NPI assigned
Aug 22, 2024
Last updated
Jul 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Christopher Harris
Title
Ceo
Phone
(801) 849-0486

Specialties & licenses 1

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

Addresses

Primary practice location

3033 Orchard Vista Dr SE
Grand Rapids, MI 49546-7077

Mailing address

9800 S Monroe St Ste 900
Sandy, UT 84070-4419
Phone (801) 996-3217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250715001036 MI Part A Provider - Hospice 1254846629 Practice locations: Grand Rapids, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679306880. Details of each certification follow.

Hospice certification: CCN 231738

Legal name
BRIGHTON HOSPICE GRAND RAPIDS LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 19, 2025
Last certification
Dec 23, 2025
Organization structure
LLCProprietary
Enrollment address
3033 Orchard Vista Dr SE
Ste 101
Grand Rapids, MI 49546-7001

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2327665Brighton Hospice Grand Rapids, LLC3033 Orchard Vista Drive SE Suite 101, Grand Rapids, MI 49546Certificate of waiverJul 27, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Andrew J Colman Individual Contracted Managing EmployeeMD; May 1, 2025
Scott David Perucca Individual 5% Or Greater Indirect Ownership InterestCso May 1, 2025 34.2%
Christopher Jay Harris Individual 5% Or Greater Indirect Ownership InterestCeo May 1, 2025 5%
Corporate OfficerCeo May 1, 2025
Erin M Bennett Individual 5% Or Greater Indirect Ownership Interest May 1, 2025 13.3%
Tyler M Godfrey Individual 5% Or Greater Indirect Ownership InterestCio May 1, 2025 34.2%
Corporate OfficerCio May 1, 2025
Thomas B Godfrey Individual 5% Or Greater Indirect Ownership InterestCoo May 1, 2025 13.3%
Corporate OfficerCoo May 1, 2025
Stephenie Nebelski Individual W-2 Managing EmployeeAd; May 1, 2025
Suncrest Health Services LLC Organization, Sandy, UT LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2025 100%
Sarah Eileen Nielsen Individual W-2 Managing EmployeeDirector of Professional Services May 1, 2025
G&B Newco Inc Organization, Sandy, UT Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2025 26.6%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1679306880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 S MONROE ST STE 900",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704419",
            "telephone_number": "801-996-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 ORCHARD VISTA DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467077",
            "telephone_number": "801-996-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTON HOSPICE GRAND RAPIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-849-0486"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.