NPIMap

Organization Active NPI

Emmanuel Hospice

  • Community Based Hospice Care Agency
  • Grand Rapids, MI
National Provider Identifier
1740548577
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
EMMANUEL HOSPICE
Practice address
401 Hall St SW Ste 263
Grand Rapids, MI 49503-4988
Phone
(166) 719-0919
Fax
(616) 719-0933
NPI assigned
Apr 30, 2012
Last updated
Jun 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Sara Torrey Lowe
Title
Executive Director
Phone
(616) 737-6267

Specialties & licenses 1

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

Addresses

Primary practice location

401 Hall St SW Ste 263
Grand Rapids, MI 49503-4988

Mailing address

401 Hall St SW Ste 263
Grand Rapids, MI 49503-4988
Phone (166) 719-0919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120802000111 MI Part A Provider - Hospice 9537315874 Practice locations: Grand Rapids, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740548577. Details of each certification follow.

Hospice certification: CCN 231629

Legal name
EMMANUEL HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 12, 2013
Last certification
Sep 12, 2013
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Enrollment address
401 Hall St SW
Ste 263
Grand Rapids, MI 49503-4988

Other NPIs with the same Medicare PAC ID 1

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

  • Emmanuel Hospice
    • Hospice and Palliative Medicine (Internal Medicine) Physician
    • Grand Rapids, MI
    • NPI 1851187652

    9537315874

    Same PAC ID

Care Compare: Hospice

Medicare Care Compare
Listed as
Emmanuel HospiceCCN 231629 · All quality measures
Ownership
Non-Profit
Certified
Sep 12, 2013
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Emmanuel Hospice2 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 3

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

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Joe Rivet Individual Corporate DirectorBoard Member Jan 29, 2026
John Teeples Individual Corporate DirectorChair of the Board Jan 1, 2021
Sara Torrey Lowe Individual Corporate DirectorExecutive Director May 24, 2012
W-2 Managing EmployeeAd;Ad;Executive Director May 24, 2012
Operational/Managerial ControlExecutive Director May 24, 2012
Jennifer Todd Individual Corporate DirectorBoard Member Dec 9, 2025
Jordan R Sall Individual W-2 Managing EmployeeMD; Oct 1, 2025
Gary Toth Individual Corporate DirectorBoard Member Aug 13, 2024
Jill Wallace Individual Corporate DirectorBoard Member Jan 29, 2026
Dorothy Hilke Individual Corporate DirectorBoard Member Apr 30, 2026
Ayub Nasar Individual Corporate DirectorBoard Member Apr 30, 2026
St Anns Home Inc Organization, Grand Rapids, MI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 2, 2012 54%
Clark Retirement Community Inc. Organization, Grand Rapids, MI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 2, 2012 18%
Amy Knape Individual Corporate Director Apr 24, 2024
Sunset Manor Inc Organization, Jenison, MI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 2, 2012 10%
Matthew Schipper Individual W-2 Managing EmployeeVP of Business Operations Apr 15, 2025
Mark Olesnavage Individual Corporate DirectorSecretary/Treasurer Apr 12, 2022
Porter Hills Presbyterian Village, Inc. Organization, Grand Rapids, MI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 2, 2012 18%
Jacqueline Taylor Individual Corporate DirectorBoard Member Feb 1, 2020
Sara L Koster Individual Corporate DirectorBoard Member Feb 8, 2022
Sheila T Knopke Individual Corporate DirectorBoard Member Feb 8, 2022

Owners & managing parties with NPI records 6

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

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

Affiliated clinicians 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1740548577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HALL ST SW STE 263",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034988",
            "telephone_number": "166-719-0919",
            "fax_number": "616-719-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HALL ST SW STE 263",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034988",
            "telephone_number": "166-719-0919",
            "fax_number": "616-719-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "TORREY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-737-6267"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.