Allay Home and Hospice, Inc.
Organization Active NPI Community Based Hospice Care Agency · Fond Du Lac, WI
NPI 1710296405 · NPPES record last updated Jun 1, 2022
Key facts
- NPI
- 1710296405
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- ALLAY HOME AND HOSPICE, INC.
- 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
- Organization subpart
- No
Authorized official
- Name
- Kevin McDaniel
- Title
- Secretary
- Phone
- (256) 810-1079
Owners & managing parties with NPI records 1
-
Joseph Longo, DO
Other NPIs with the same Medicare PAC ID 1
Member of 1
Facilities with the same owner 151
Affiliated clinicians 6
-
Katie Gesch, D.O., M.S.
-
Erin R Lambert, DO
-
Joseph Longo, DO
-
Rolf F. Poser, M.D.
-
Samuel G. Poser, M.D.
-
Lisa R Weber, MD
Medicare Care Compare: Hospice
- Listed as
- Generations Hospice
- Ownership
- For-Profit
- Certified
- Apr 7, 2011
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2016092 | Allay Home & Hospice Inc | Certificate of waiver | Nov 9, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
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
- Corporation · Proprietary
- Incorporated
- Feb 23, 2007 in WI
- Enrollment address
- 1028 S Main St
Ste C
Fond Du Lac, WI 54935-6109
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Jay Koeper |
Corporate Officer |
Jul 14, 2023 | |
| Corporate Director |
Jul 14, 2023 | ||
| Julie a Northern |
W-2 Managing Employee |
Jul 28, 2019 | |
| Jennifer Phipps |
Corporate Officer |
Jul 22, 2022 | |
| Walgreen Co |
5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 20% |
| Silverton Abode Holding Corporation |
5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 100% |
| Joseph Longo |
Contracted Managing Employee |
Nov 1, 2019 | |
| Margaret Sherry Pemberton |
Corporate Officer |
Sep 2, 2021 | |
| Corporate Director |
Sep 2, 2021 | ||
| Brightspring Health Holdings Corp |
5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 100% |
| Silverton Intermediate Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 100% |
| Phoenix Guarantor Inc. |
5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 100% |
| Res-Care Inc |
5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 100% |
| Silverton Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 100% |
| Phoenix Intermediate Holdings Inc. |
5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 100% |
| Abode Healthcare, Inc. |
5% Or Greater Direct Ownership Interest | Sep 2, 2021 | 100% |
| Walgreens Holding Company |
5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 20% |
| Brightspring Health Services Inc |
5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 100% |
| KKR Phoenix Aggregator L.P. |
5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 48% |
| KKR Americas Fund XII LP |
5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 42% |
| Michael a McMaude |
Corporate Officer |
Sep 2, 2021 | |
| Corporate Director |
Sep 2, 2021 | ||
| Silverton Abode, LLC |
5% Or Greater Indirect Ownership Interest | Sep 2, 2021 | 100% |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Jun 29, 2021 | Change of Ownership |
Generations Hospice, a Division of Allay Home and Hospice, Inc. |
| Jun 29, 2021 | Change of Ownership |
Generations Hospice |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210811002152 | WI | Part a Provider - Hospice | 0648372847 | Practice locations: Fond Du Lac, WI |
National Provider Directory
Locations
260 Regency Ct
#205
Brookfield, WI 53045
Phone (262) 787-2980
325 N Corporate Dr
Ste 260
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
1028 S Main St
Ste C
Fond du Lac, WI 54935
Phone (920) 922-0134
1020 S Main St
Ste C
Fond du Lac, WI 54935
Phone (414) 841-1475
11422 N Port Washington Rd
#201
Mequon, WI 53092
Phone (262) 240-0720
725 Cornerstone Xing
Waterford, WI 53185
Phone (262) 634-6603
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
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
- Generations Hospice
Other providers in Fond Du Lac, WI
- Kabir Ahmed
- Jennifer Ajide
- Alicia Hans LCSW
- Jennifer B Alizadeh
- Reem Aljamaan
- Desirae Nichole Alsum
- Nicole L Amidon
- Anchor Point Home Health Services
- Anderson Chiropractic Office LLC
- Brianna L Anderson
All providers in Fond Du Lac, WI · Community Based Hospice Care Agency in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.