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Presbyterian Homes Hospice Inc

Organization Active NPI Community Based Hospice Care Agency · Waukesha, WI

NPI 1730916248 · NPPES record last updated Sep 18, 2024

Key facts

NPI
1730916248
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
Legal business name
PRESBYTERIAN HOMES HOSPICE INC
Practice address
222 Park PL
Waukesha, WI 53186-4858
Phone
(651) 746-8200
NPI assigned
Sep 18, 2024
Organization subpart
No

Authorized official

Name
Jill Nance
Title
Hospice Administrator
Phone
(651) 631-6406

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Facilities with the same owner 22

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

Medicare Care Compare: Hospice

Listed as
Optage Hospice CCN 521628
Certified
Oct 31, 2025
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2322822Presbyterian Homes Hospice, Dba Optage Hospice
222 Park PL, Waukesha, WI 53186		Certificate of waiverApr 27, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

Hospice certification: CCN 521628

Legal name
PRESBYTERIAN HOMES HOSPICE INC
Doing business as
OPTAGE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 31, 2025
Last certification
Oct 14, 2025
Organization structure
Corporation · Non-profit
Enrollment address
222 Park PL
Waukesha, WI 53186

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Christa K Hoiland
Individual 		W-2 Managing Employee
MD;		 Aug 1, 2014
Mike Bingham
Individual 		Corporate Director
Board Member		 Oct 1, 2011
Daniel a Lindh
Individual 		Corporate Director
Board Member		 Jan 1, 1997
PHS Management, LLC
Organization · Saint Paul, MN
Non-profit, Chain home office 		Operational/Managerial Control Mar 11, 2011 100%
Jill Nance
Individual 		W-2 Managing Employee
Ad;		 Oct 18, 2011
Amy Eisenhut
Individual 		W-2 Managing Employee
Clinical Administrator		 Aug 20, 2024 80%
Mark Meyer
Individual 		Corporate Director
Board Member, Cfo		 Oct 1, 2011

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250620002314 WI Part a Provider - Hospice 3971674961 Practice locations: Waukesha, WI

National Provider Directory

Tax ID family
Ability Network (2 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

222 Park PL
Waukesha, WI 53186-4858

Mailing address

2845 Hamline Ave N
Roseville, MN 55113-7127
Phone (651) 746-8200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 18, 2024.

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1730916248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 HAMLINE AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551137127",
            "telephone_number": "651-746-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PARK PL",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864858",
            "telephone_number": "651-746-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN HOMES HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "NANCE",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "HOSPICE ADMINISTRATOR",
        "authorized_official_telephone_number": "651-631-6406"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

All providers in Waukesha, WI · Community Based Hospice Care Agency in Wisconsin

Sources for this page

Verify at the official NPI Registry.