Active NPI
Grace Hospice of Grand Rapids, LLC
Doing business as Crossbridge Hospice
- Community Based Hospice Care Agency
- Kentwood, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 1041000123
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1041000123 | Other | MI | HOSPICE LICENSE |
Other names 3
- Crossbridge Hospice
- HarmonyCares Hospice
- Grace Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 4595 Broadmoor Ave SE
Ste 130
Kentwood, MI 49512-5300
Care Compare: Hospice
Medicare Care Compare- Listed as
- Crossbridge Hospice
- Ownership
- For-Profit
- Certified
- Jun 3, 2013
- 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 |
|---|---|---|---|
| 23D2029984 | Grace Hospice of Grand Rapids LLC | Certificate of waiver | Sep 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Acp-Fow Hospice Midco, LLC | 5% Or Greater Indirect Ownership Interest | May 23, 2025 | 100% |
| Acp-Fow Hospice Parent Holdings, LLC | 5% Or Greater Indirect Ownership Interest | May 23, 2025 | 99% |
| Fow/Acp Capital, LLC | 5% Or Greater Indirect Ownership Interest | May 23, 2025 | 96.5% |
| Fow Hospice Investor, LLC | 5% Or Greater Indirect Ownership Interest | May 23, 2025 | 96.5% |
| Hospice Acquisition Company - Michigan West, LLC | 5% Or Greater Direct Ownership Interest | May 23, 2025 | 100% |
| Scott Johnson | Corporate Officer | May 23, 2025 | |
| Operational/Managerial Control | May 23, 2025 | ||
| Barbara L Ciesliga | Contracted Managing Employee | Nov 18, 2021 | |
| Dawn Frambes | W-2 Managing Employee | Apr 18, 2025 | |
| Hospice Acquisition Company, LLC | 5% Or Greater Indirect Ownership Interest | May 23, 2025 | 100% |
| Anna-Gene O'Neal | Corporate Officer | May 23, 2025 | |
| Operational/Managerial Control | May 23, 2025 | ||
| Zachary Charles Drexler | Corporate Officer | Sep 4, 2025 | |
| Acp-Fow Hospice Intermediate, LLC | 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.
-
- Internal Medicine Physician
- Flint, MI
- NPI 1851525802
Contracted Managing Employee
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Crossbridge Hospice
- Community Based Hospice Care Agency
- Troy, MI
- NPI 1952456857
Acp-Fow Hospice Intermediate, LLC, Acp-Fow Hospice Midco, LLC, Acp-Fow Hospice Parent Holdings, LLC, Fow Hospice Investor, LLC, Fow/Acp Capital, LLC
-
dba Crossbridge Hospice
- Community Based Hospice Care Agency
- Irving, TX
- NPI 1043499684
Acp-Fow Hospice Intermediate, LLC, Acp-Fow Hospice Midco, LLC, Acp-Fow Hospice Parent Holdings, LLC, Fow Hospice Investor, LLC, Fow/Acp Capital, LLC
-
dba Grace Hospice
- Community Based Hospice Care Agency
- Cincinnati, OH
- NPI 1205352051
Acp-Fow Hospice Intermediate, LLC, Acp-Fow Hospice Midco, LLC, Acp-Fow Hospice Parent Holdings, LLC, Fow Hospice Investor, LLC, Fow/Acp Capital, LLC, Hospice Acquisition Company, LLC
-
dba Grace Hospice
- Community Based Hospice Care Agency
- Youngstown, OH
- NPI 1871019463
Acp-Fow Hospice Intermediate, LLC, Acp-Fow Hospice Midco, LLC, Acp-Fow Hospice Parent Holdings, LLC, Fow Hospice Investor, LLC, Fow/Acp Capital, LLC, Hospice Acquisition Company, LLC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.