NPIMap

Organization Active NPI

Hospice of Muskegon County, Inc.

Doing business as Harbor Hospice

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Muskegon, MI
National Provider Identifier
1740283787
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
HOSPICE OF MUSKEGON COUNTY, INC.
Doing business as
Harbor Hospice
Practice address
1050 W Western Ave
Ste 400
Muskegon, MI 49441-1666
Phone
(231) 728-3442
Fax
(231) 726-2581
NPI assigned
May 23, 2005
Last updated
Apr 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Susan Houseman, RN, BSN, NHA
Title
President & Ceo
Phone
(231) 728-6820

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 613510 MI
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X Primary

Addresses

Primary practice location

1050 W Western Ave
Ste 400
Muskegon, MI 49441-1666

Mailing address

1050 W Western Ave
Ste 400
Muskegon, MI 49441-1666
Phone (231) 728-3442

Other identifiers 6

IdentifierTypeStateIssuer
52230OtherMICOMMUNITY CHOICE
08701OtherMIBCBS OF MI
500449OtherMICARE CHOICES
1791705MedicaidMI
231508OtherMIMEDICARE
7402461OtherMIAETNA

Other names 1

  • Harbor Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030925000029 MI Part A Provider - Hospice 1850202813 Practice locations: Muskegon, MI
O20100318000655 MI Part B Supplier - Clinic/Group Practice 1850202813 Receives reassigned benefits from 4 practitioners
Practice locations: Norton Shores, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740283787. Details of each certification follow.

Hospice certification: CCN 231508

Legal name
HOSPICE OF MUSKEGON COUNTY INC
Doing business as
HARBOR HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 29, 1985
Last certification
May 25, 2006
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Mar 16, 1982 in MI
Enrollment address
1050 W Western Ave
Suite 400
Muskegon, MI 49441-1666

Care Compare: Hospice

Medicare Care Compare
Listed as
Harbor HospiceCCN 231508 · All quality measures
Ownership
Non-Profit
Certified
Mar 29, 1985
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Hospice of Muskegon County Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 1

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

Locations

1050 W Western Ave
Ste 400
Muskegon, MI 49441
Phone (231) 728-3442

1095 3rd St
Ste 209
Muskegon, MI 49441
Phone (231) 728-3442

6425 Harvey St
Norton Shores, MI 49444
Phone (231) 737-3469

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Harbor Hospice Foundation Organization, Muskegon, MI 5% Or Greater Direct Ownership Interest Jan 29, 2017 80%
John T Foss Individual Corporate Director May 25, 2022 7%
Connie Learman Individual Corporate DirectorBoard Member May 23, 2018 7%
David D Wingard Individual Corporate Officer May 26, 2021 7%
Trinity Home Health Services Organization, Livonia, MI Non-profit 5% Or Greater Direct Ownership Interest Jan 29, 2017 20%
Kathy Moore Individual Corporate Officer May 1, 2020 7%
Kerry Akred Individual Corporate Director Jan 1, 2024 7%
Cheryl Metz Individual Corporate Director Jan 1, 2024 7%
Susan Houseman Individual Corporate DirectorPresident/Ceo Jun 1, 2020
Operational/Managerial ControlPresident/Ceo Jun 1, 2020 100%
Mishelle M Comstock Individual Corporate Director May 25, 2022 7%
Curtiss Babcock Individual Corporate Officer May 22, 2019 7%
Gerald a Harriman Individual W-2 Managing EmployeeMedical Director Jun 7, 2006
Roger Morgenstern Individual Corporate Officer May 27, 2020
Jayne Marie Green Individual Corporate Director Jan 1, 2024 7%
Amanda R Bennett Individual Corporate Director May 26, 2021 7%

Owners & managing parties with NPI records 23

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

View all 23

Facilities with the same owner 7

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 58

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1740283787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W WESTERN AVE",
            "address_2": "STE 400",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494411666",
            "telephone_number": "231-728-3442",
            "fax_number": "231-726-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W WESTERN AVE",
            "address_2": "STE 400",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494411666",
            "telephone_number": "231-728-3442",
            "fax_number": "231-726-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF MUSKEGON COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "HOUSEMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "231-728-6820",
        "authorized_official_credential": "RN, BSN, NHA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": "613510",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CHOICE",
            "identifier": "52230",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "08701",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "500449",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1791705",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "231508",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7402461",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harbor Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.