Organization Active NPI

Allay Home and Hospice, Inc.

Doing business as Generations Hospice

  • Community Based Hospice Care Agency
  • Fond Du Lac, WI
National Provider Identifier
1710296405
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ALLAY HOME AND HOSPICE, INC.
Doing business as
Generations Hospice
Practice address
1028 S Main St Ste C
Fond Du Lac, WI 54935-6109
Phone
(920) 922-0134
Fax
(920) 933-3710
NPI assigned
Sep 29, 2010
Last updated
Jun 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Kevin McDaniel
Title
Secretary
Phone
(256) 810-1079

Specialties & licenses 1

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

Addresses

Primary practice location

1028 S Main St Ste C
Fond Du Lac, WI 54935-6109

Mailing address

1028 S Main St Ste C
Fond Du Lac, WI 54935-6109
Phone (920) 922-0134

Other names 1

  • Generations Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210811002152 WI Part A Provider - Hospice 0648372847 Practice locations: Fond Du Lac, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710296405. Details of each certification follow.

Hospice certification: CCN 521590

Legal name
ALLAY HOME AND HOSPICE INC
Doing business as
GENERATIONS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 7, 2011
Last certification
Apr 4, 2014
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Feb 23, 2007 in WI
Enrollment address
1028 S Main St
Ste C
Fond Du Lac, WI 54935-6109

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
Generations HospiceCCN 521590 · All quality measures
Ownership
For-Profit
Certified
Apr 7, 2011
Medicare certification status
ActiveFrom the Provider of Services file

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
52D2016092Allay Home & Hospice Inc1028 South Main St, Suite C, Fond Du Lac, WI 54935Certificate of waiverNov 9, 2026

National Provider Directory

National Provider Directory

Member of 1

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

Locations

805 N Whittington Pkwy
Ste 4
Louisville, KY 40222

260 Regency Ct
#205
Brookfield, WI 53045
Phone (262) 787-2980

260 Regency Ct
Ste 205
Brookfield, WI 53045
Phone (262) 787-2980

635 Park Ave
#C
Columbus, WI 53925
Phone (877) 545-0551

1020 S Main St
Ste B
Fond du Lac, WI 54935
Phone (262) 787-2980

1020 S Main St
Ste C
Fond du Lac, WI 54935
Phone (414) 841-1475

1028 S Main St
Ste C
Fond du Lac, WI 54935
Phone (920) 922-0134

11422 N Port Washington Rd
#201
Mequon, WI 53092
Phone (262) 240-0720

1532 S Green Bay Rd
Ste 200
Mount Pleasant, WI 53406
Phone (262) 631-0474

725 Cornerstone Xing
Waterford, WI 53185
Phone (262) 634-6603

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Jay Koeper Individual Corporate OfficerSecretary Jul 14, 2023
Corporate DirectorBoard Member Jul 14, 2023
Julie a Northern Individual W-2 Managing EmployeeAd; Jul 28, 2019
Jennifer Phipps Individual Corporate OfficerTreasurer Jul 22, 2022
Walgreen Co Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 20%
Silverton Abode Holding Corporation Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 100%
Joseph Longo Individual Contracted Managing EmployeeMD; Nov 1, 2019
Margaret Sherry Pemberton Individual Corporate OfficerVice President Sep 2, 2021
Corporate DirectorBoard Member Sep 2, 2021
Brightspring Health Holdings Corp Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 100%
Silverton Intermediate Holdings, Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 100%
Phoenix Guarantor Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 100%
Res-Care Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 100%
Silverton Holdings, Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 100%
Phoenix Intermediate Holdings Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 100%
Abode Healthcare, Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Direct Ownership Interest Sep 2, 2021 100%
Walgreens Holding Company Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 20%
Brightspring Health Services Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 100%
KKR Phoenix Aggregator L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 48%
KKR Americas Fund XII LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 42%
Michael a McMaude Individual Corporate OfficerPresident Sep 2, 2021
Corporate DirectorBoard Member Sep 2, 2021
Silverton Abode, LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 2, 2021 100%

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 151

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

View all 151

Change-of-ownership history 2

DateEventCounterparty
Jun 29, 2021 Change of OwnershipThis provider was the buyer Generations Hospice, a Division of Allay Home and Hospice, Inc.CCN 521590, WI, NPI 1710296405
Jun 29, 2021 Change of OwnershipThis provider was the seller Generations HospiceCCN 521590, WI, NPI 1710296405

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1710296405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 S MAIN ST STE C",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549356109",
            "telephone_number": "920-922-0134",
            "fax_number": "920-933-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 S MAIN ST STE C",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549356109",
            "telephone_number": "920-922-0134",
            "fax_number": "920-933-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAY HOME AND HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "256-810-1079"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Generations Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fond Du Lac, WI

Sources for this page

Verify at the official NPI Registry.