Active NPI
Lily Home and Hospice
- Community Based Hospice Care Agency
- Eau Claire, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- LILY HOME AND HOSPICE
- Practice address
- 4423 Golf Ter Ste a
Eau Claire, WI 54701-4902 - Phone
- (262) 421-6004
- Fax
- (262) 537-5140
- NPI assigned
- Jul 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keith Rasimus
- Title
- Ceo
- Phone
- (715) 201-2233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
4423 Golf Ter Ste a
Eau Claire, WI 54701-4902
Mailing address
15430 W Capitol Dr Ste 100
Brookfield, WI 53005-2626
Phone (262) 235-3115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240124003638 | WI | Part A Provider - Hospice | 2163875337 | Practice locations: Eau Claire, WI |
Hospice certification: CCN 521621
- Legal name
- LILY HOME AND HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Feb 29, 2024
- Last certification
- Feb 8, 2024
- Organization structure
- LLC
- Incorporated
- Jun 25, 2023 in WI
- Enrollment address
- 4423 Golf Ter
Ste a
Eau Claire, WI 54701-4902
Care Compare: Hospice
Medicare Care Compare- Listed as
- Lily Home and Hospice
- Certified
- Feb 29, 2024
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2323010 | Lily Home and Hospice LLC | Certificate of waiver | Apr 29, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Sarah Schorsch | Contracted Managing Employee | Jul 10, 2023 | 30% |
| Tracy Merle Geiger | 5% Or Greater Indirect Ownership Interest | Jun 25, 2023 | 100% |
| Corporate Officer | Jun 25, 2023 | 80% | |
| Operational/Managerial Control | Jun 25, 2023 | 100% | |
| Lily Hospice LLC | 5% Or Greater Direct Ownership Interest | Jun 25, 2023 | 100% |
| Operational/Managerial Control | Jun 25, 2023 | 100% | |
| Aron S Adkins | Contracted Managing Employee | Jul 10, 2023 | 20% |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Endocrinology, Diabetes & Metabolism Physician
- Eau Claire, WI
- NPI 1336246529
Contracted Managing Employee
-
- Family Medicine Physician
- Brookfield, WI
- NPI 1255456653
5% Or Greater Indirect Ownership Interest, Corporate Officer, Operational/Managerial Control
-
- Community Based Hospice Care Agency
- Brookfield, WI
- NPI 1235870478
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospice Registered Nurse
- Eau Claire, WI
- NPI 1225806482
-
- Endocrinology, Diabetes & Metabolism Physician
- Eau Claire, WI
- NPI 1336246529
-
- Gerontology Nurse Practitioner
- Cedarburg, WI
- NPI 1578324281
-
- Family Medicine Physician
- Brookfield, WI
- NPI 1255456653
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Eau Claire, WI
- NPI 1336246529
Hospice
-
- Gerontology Nurse Practitioner
- Eau Claire, WI
- NPI 1770354508
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733875200000",
"number": "1700564937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15430 W CAPITOL DR STE 100",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530052626",
"telephone_number": "262-235-3115",
"fax_number": "262-537-5140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4423 GOLF TER STE A",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547014902",
"telephone_number": "262-421-6004",
"fax_number": "262-537-5140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LILY HOME AND HOSPICE",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-07",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A",
"authorized_official_last_name": "RASIMUS",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "715-201-2233"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.