Organization Active NPI

Grace Hospice of Grand Rapids, LLC

Doing business as Crossbridge Hospice

  • Community Based Hospice Care Agency
  • Kentwood, MI
National Provider Identifier
1720377906
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
1041000123 Issued in MI
Legal business name
GRACE HOSPICE OF GRAND RAPIDS, LLC
Doing business as
Crossbridge Hospice
HarmonyCares Hospice
Practice address
4959 Broadmoor Ave SE
Suite 130
Kentwood, MI 49512-5300
Phone
(616) 432-2050
Fax
(855) 618-6652
NPI assigned
Mar 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Anna-Gene O'Neal
Title
Ceo
Phone
(617) 596-5278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 1041000123 MI Primary

Addresses

Primary practice location

4959 Broadmoor Ave SE
Suite 130
Kentwood, MI 49512-5300

Mailing address

103 Forrest Crossing Blvd Ste 101
Franklin, TN 37064-5454
Phone (615) 430-2929

Other identifiers 1

IdentifierTypeStateIssuer
1041000123OtherMIHOSPICE LICENSE

Other names 3

  • Crossbridge Hospice Doing business as
  • HarmonyCares Hospice Doing business as
  • Grace Hospice Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111118000559 MI Part A Provider - Hospice 9931373453 Practice locations: Kentwood, MI

Hospice certification: CCN 231628

Legal name
GRACE HOSPICE OF GRAND RAPIDS LLC
Doing business as
CROSSBRIDGE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 3, 2013
Last certification
Jun 3, 2016
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
4595 Broadmoor Ave SE
Ste 130
Kentwood, MI 49512-5300

Care Compare: Hospice

Medicare Care Compare
Listed as
Crossbridge HospiceCCN 231628 · All quality measures
Ownership
For-Profit
Certified
Jun 3, 2013
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
23D2029984Grace Hospice of Grand Rapids LLC4595 Broadmoor Avenue SE Suite 130, Kentwood, MI 49512Certificate of waiverSep 19, 2027

National Provider Directory

National Provider Directory

Locations

3355 Eagle Park Dr NE
Ste 102
Grand Rapids, MI 49525
Phone (616) 432-2050

4959 Broadmoor Ave SE
Ste 130
Kentwood, MI 49512
Phone (616) 432-2050

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Acp-Fow Hospice Midco, LLC Organization, Portland, ME LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 23, 2025 100%
Acp-Fow Hospice Parent Holdings, LLC Organization, Portland, ME LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 23, 2025 99%
Fow/Acp Capital, LLC Organization, Portland, ME LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 23, 2025 96.5%
Fow Hospice Investor, LLC Organization, Portland, ME LLC 5% Or Greater Indirect Ownership Interest May 23, 2025 96.5%
Hospice Acquisition Company - Michigan West, LLC Organization, Franklin, TN LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 23, 2025 100%
Scott Johnson Individual Corporate OfficerSecretary May 23, 2025
Operational/Managerial ControlSecretary May 23, 2025
Barbara L Ciesliga Individual Contracted Managing EmployeeHospice Medical Director Nov 18, 2021
Dawn Frambes Individual W-2 Managing EmployeeAd; Apr 18, 2025
Hospice Acquisition Company, LLC Organization, Franklin, TN LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 23, 2025 100%
Anna-Gene O'Neal Individual Corporate OfficerCeo May 23, 2025
Operational/Managerial ControlCeo May 23, 2025
Zachary Charles Drexler Individual Corporate OfficerTreasurer Sep 4, 2025
Acp-Fow Hospice Intermediate, LLC Organization, Portland, ME LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 23, 2025 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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1720377906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 FORREST CROSSING BLVD STE 101",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645454",
            "telephone_number": "615-430-2929",
            "fax_number": "855-618-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 BROADMOOR AVE SE",
            "address_2": "SUITE 130",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495125300",
            "telephone_number": "616-432-2050",
            "fax_number": "855-618-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOSPICE OF GRAND RAPIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "ANNA-GENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-596-5278"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": "1041000123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPICE LICENSE",
            "identifier": "1041000123",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossbridge Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HarmonyCares Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kentwood, MI

Sources for this page

Verify at the official NPI Registry.