NPIMap

Organization Active NPI

Faith Hospice

Doing business as Hospice of Holland Home and Faith Hospice at Trillium Woods

  • Community Based Hospice Care Agency
  • Byron Center, MI
National Provider Identifier
1790739282
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
FAITH HOSPICE
Doing business as
Hospice of Holland Home and Faith Hospice at Trillium Woods
Practice address
8214 Pfeiffer Farms Dr SW Ste 303
Byron Center, MI 49315-8288
Phone
(616) 356-4820
Fax
(616) 235-5050
NPI assigned
May 20, 2006
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Mr. Adam Kinder
Title
Cfo
Phone
(616) 235-5015

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary
Inpatient Hospice 315D00000X

Addresses

Primary practice location

8214 Pfeiffer Farms Dr SW Ste 303
Byron Center, MI 49315-8288

Mailing address

8214 Pfeiffer Farms Dr SW
Byron Center, MI 49315-8288
Phone (616) 356-4820

Other identifiers 2

IdentifierTypeStateIssuer
08762OtherBCBS OF MICHIGAN
3161730MedicaidMI

Other names 1

  • Hospice of Holland Home and Faith Hospice at Trillium Woods Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050225000322 MI Part A Provider - Hospice 9436102845 Practice locations: Byron Center, MI
O20120420000348 MI Part B Supplier - Clinic/Group Practice 9436102845 Receives reassigned benefits from 19 practitioners
1 other NPI on this enrollment
Practice locations: Byron Center, MI; Grand Rapids, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790739282. Details of each certification follow.

Hospice certification: CCN 231570

Legal name
FAITH HOSPICE
Doing business as
FAITH HOSPICE AT TRILLIUM WOODS
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 21, 1995
Last certification
Jan 21, 2016
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Jul 30, 1992 in MI
Enrollment address
8214 Pfeiffer Farms Dr SW
Byron Center, MI 49315-8288

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Faith Hospice at Trillium WoodsCCN 231570 · All quality measures
Ownership
Non-Profit
Certified
Mar 21, 1995
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Faith 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 1

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

Locations

8214 Pfeiffer Farms Dr SW
Ste 303
Byron Center, MI 49315
Phone (616) 356-4820

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Holland Home Organization, Grand Rapids, MI Non-profit Operational/Managerial Control Jul 30, 1992 100%
Carlos Hidalgo Individual Corporate Director Jul 1, 2022
Kimberly S Holton Individual W-2 Managing EmployeeAd; Oct 2, 2023
David Smith Individual Corporate Director Jul 1, 2022
Troy Vugteveen Individual Corporate DirectorPresident & Ceo Jan 1, 2022
Mary Ursul Individual Corporate DirectorDirector/Chair Jun 23, 2016
Christian Living Services Organization, Grand Rapids, MI Non-profit 5% Or Greater Direct Ownership Interest Jun 30, 2016 100%
Mark Johnson Individual Corporate Director Jul 1, 2021
Susan L Vogel-Vanderson Individual Corporate DirectorDirector Jun 23, 2016
Gilbert Segovia Individual Corporate Director Jul 1, 2022
Gary P Malburg Individual Corporate DirectorDirector/Treasurer Jun 23, 2016
Patrick J Fitzgibbon Individual Contracted Managing EmployeeMD; Jan 1, 2016
Michelle Baas Individual W-2 Managing EmployeeDirector of Operations May 19, 2025
David Knibbe Individual Corporate DirectorDirector Jul 1, 2017
Scott Demaagd Individual Corporate Director Jul 1, 2025
Sam R Watson Individual Corporate DirectorDirector Jul 1, 2017
Nick Thole Individual Corporate DirectorDirector Jul 1, 2017
Jean M Nagelkerk Individual Corporate DirectorDirector Jun 23, 2016
Marie Vanderkooi Individual Corporate Director Jul 1, 2025
Adam Kinder Individual Corporate OfficerCfo Apr 4, 2021
Nelson Sanchez Individual Corporate OfficerDirector/Vice Chair/Secretary Jul 1, 2017

Owners & managing parties with NPI records 3

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.

Subparts reporting this organization as parent 2

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

Practitioners & affiliated clinicians

Practitioners 19

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 19

Affiliated clinicians 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1790739282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8214 PFEIFFER FARMS DR SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158288",
            "telephone_number": "616-356-4820",
            "fax_number": "616-235-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8214 PFEIFFER FARMS DR SW STE 303",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158288",
            "telephone_number": "616-356-4820",
            "fax_number": "616-235-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-09-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "KINDER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "616-235-5015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "08762",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3161730",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice of Holland Home and Faith Hospice at Trillium Woods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Byron Center, MI

Sources for this page

Verify at the official NPI Registry.