Faith Hospice
Organization Active NPI Community Based Hospice Care Agency · Byron Center, MI
NPI 1790739282 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1790739282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- FAITH HOSPICE
- 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
- Organization subpart
- No
Authorized official
- Name
- Mr. Adam Kinder
- Title
- Cfo
- Phone
- (616) 235-5015
Owners & managing parties with NPI records 3
Other NPIs on the same Medicare enrollment 1
Subparts reporting this organization as parent 2
Corporate family (same tax ID) 1
Member of 1
Facilities with the same owner 4
Practitioners 19
-
Michael Dozeman, M.D.
-
Steven J Dupuis, D.O.
-
David King, MD
-
Danielle R Miller, RN, NP-C
-
Kelsey Crawford, MPAS, PA-C
-
Jill A Paauwe, N.P.
-
David G. Raffo, MD
-
Lauren Elizabeth See-Jacques, AGPCNP
-
Ryan Stringer, D.O.
-
Therese Rouse, D.O.
Affiliated clinicians 26
-
Shahnaz Ali, M.D.
-
Piyush Bhatnagar, M.D.
-
Iris Boettcher, MD
-
Andrew Bosch, D.O.
-
Daniel Carrel, DO
-
Michael Dozeman, M.D.
-
Ronald Duemler, MD
-
William H Dukes, MD
-
Peter G Goebel, D.O.
-
Maria Cristina Hassan, D.O.
-
Ryan A Hop, D.O.
-
Natalie Kent, D.O.
-
David King, MD
-
Danielle Light, MD
-
Robert Riekse, MD
Medicare Care Compare: Hospice
- Listed as
- Faith Hospice at Trillium Woods
- Ownership
- Non-Profit
- Certified
- Mar 21, 1995
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI
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
- Corporation · Non-profit
- Incorporated
- Jul 30, 1992 in MI
- Enrollment address
- 8214 Pfeiffer Farms Dr SW
Byron Center, MI 49315-8288
All disclosed owners & managing parties 21
| Name | Role | Since | Share |
|---|---|---|---|
| Holland Home |
Operational/Managerial Control | Jul 30, 1992 | 100% |
| Carlos Hidalgo |
Corporate Director | Jul 1, 2022 | |
| Kimberly S Holton |
W-2 Managing Employee |
Oct 2, 2023 | |
| David Smith |
Corporate Director | Jul 1, 2022 | |
| Troy Vugteveen |
Corporate Director |
Jan 1, 2022 | |
| Mary Ursul |
Corporate Director |
Jun 23, 2016 | |
| Christian Living Services |
5% Or Greater Direct Ownership Interest | Jun 30, 2016 | 100% |
| Mark Johnson |
Corporate Director | Jul 1, 2021 | |
| Susan L Vogel-Vanderson |
Corporate Director |
Jun 23, 2016 | |
| Gilbert Segovia |
Corporate Director | Jul 1, 2022 | |
| Gary P Malburg |
Corporate Director |
Jun 23, 2016 | |
| Patrick J Fitzgibbon |
Contracted Managing Employee |
Jan 1, 2016 | |
| Michelle Baas |
W-2 Managing Employee |
May 19, 2025 | |
| David Knibbe |
Corporate Director |
Jul 1, 2017 | |
| Scott Demaagd |
Corporate Director | Jul 1, 2025 | |
| Sam R Watson |
Corporate Director |
Jul 1, 2017 | |
| Nick Thole |
Corporate Director |
Jul 1, 2017 | |
| Jean M Nagelkerk |
Corporate Director |
Jun 23, 2016 | |
| Marie Vanderkooi |
Corporate Director | Jul 1, 2025 | |
| Adam Kinder |
Corporate Officer |
Apr 4, 2021 | |
| Nelson Sanchez |
Corporate Officer |
Jul 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Faith Hospice
Locations
8214 Pfeiffer Farms Dr SW
Ste 303
Byron Center, MI 49315
Phone (616) 356-4820
2100 Raybrook St SE
Ste 303
Grand Rapids, MI 49546
Phone (616) 235-4663
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes | ||
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08762 | Other | BCBS OF MICHIGAN | |
| 3161730 | Medicaid | MI |
Other names
- Hospice of Holland Home and Faith Hospice at Trillium Woods
Other providers in Byron Center, MI
- Kristen Eid
- Amy Ellis
- Bethany Evans
- Evolve Therapy Group, LLC
- Faith Hospice
- Joy Falbe
- Grant Fall
- Family Fare, LLC
- Family Pharmacy-SW Campus
- Brittney Fetterman
All providers in Byron Center, MI · Community Based Hospice Care Agency in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.