NPIMap

Organization Active NPI

Hospice at Home, Inc.

Doing business as Caring Circle

  • Community Based Hospice Care Agency
  • Saint Joseph, MI
National Provider Identifier
1831186311
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
753511 Issued in MI
Legal business name
HOSPICE AT HOME, INC.
Doing business as
Caring Circle
Corewell Health Hospice & Palliative Care Southwest Michigan
Practice address
4025 Health Park Lane
Saint Joseph, MI 49085
Phone
(269) 429-7100
Fax
(269) 429-1307
NPI assigned
Sep 30, 2005
Last updated
Aug 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Mrs. Melinda M Gruber, PHD
Title
President and Ceo
Phone
(269) 429-7100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 753511 MI Primary
Inpatient Hospice 315D00000X
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X

Addresses

Primary practice location

4025 Health Park Lane
Saint Joseph, MI 49085

Mailing address

4025 Health Park Lane
Saint Joseph, MI 49085
Phone (269) 429-7100

Other identifiers 2

IdentifierTypeStateIssuer
08702OtherMIBLUE CROSS
1791920MedicaidMI

Other names 2

  • Caring Circle Doing business as
  • Corewell Health Hospice & Palliative Care Southwest Michigan Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060410000254 MI Part A Provider - Hospice 9537178116 Practice locations: Saint Joseph, MI
O20061025000105 MI Part B Supplier - Clinic/Group Practice 9537178116 Receives reassigned benefits from 23 practitioners
Practice locations: Saint Joseph, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831186311. Details of each certification follow.

Hospice certification: CCN 231513

Legal name
HOSPICE AT HOME, INC.
Doing business as
COREWELL HEALTH HOSPICE & PALLIATIVE CARE SOUTHWEST MICHIGAN
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 14, 1986
Last certification
Aug 28, 2013
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Jun 16, 1981 in MI
Enrollment address
4025 Health Park LN
Saint Joseph, MI 49085-3421

Care Compare: Hospice

Medicare Care Compare
Listed as
Corewell Health Hospice & Palliative Care Southwest MichiganCCN 231513 · All quality measures
Ownership
Non-Profit
Certified
May 14, 1986
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4017 Chamberlain Rd
Buchanan, MI 49107

60 N Saint Joseph Ave
Ste 120
Niles, MI 49120

4025 Health Park Ln
Saint Joseph, MI 49085
Phone (269) 429-7100

05055 Blue Star Memorial Hwy
South Haven, MI 49090
Phone (269) 637-2603

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Stephanie Timmer Individual Corporate DirectorBoard Member Jan 1, 2020
Christina Freese Decker Individual Operational/Managerial ControlAdministrator of Chain Home Offi Oct 1, 2018
Melinda M Gruber Individual Corporate Director Dec 1, 2024
Curtis Vanderwaal Individual Corporate DirectorBoard Member Mar 1, 2021
Dan Wassenhove Individual W-2 Managing EmployeeTreasurer Jan 1, 2022
Dennis Dascenzo Individual Corporate DirectorVice Chair Jan 1, 2022
Deborah L Bennett Berecz Individual Corporate DirectorBoard Chair Jan 1, 2022
Rodrigo Correa Individual Corporate DirectorBoard Member Jan 1, 2020
Lakeland Regional Health System Organization, Saint Joseph, MI Non-profit Operational/Managerial Control Oct 1, 2018
Matthew E Cox Individual Corporate OfficerCfo Apr 1, 2024 100%
Corewell Health Organization, Grand Rapids, MI Corporation, Non-profit Operational/Managerial Control Oct 1, 2018
Bertha King Individual Corporate DirectorBoard Member Jan 1, 2020
Lowell H Hamel Individual Corporate DirectorBoard Member Jan 1, 2020
Mark Odland Individual Corporate DirectorBoard Member Jan 1, 2020
Olivia Starks Individual Corporate DirectorBoard Member Jan 1, 2020
Diane Young Individual Corporate DirectorBoard Member Jan 1, 2022

Owners & managing parties with NPI records 1

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

Facilities with the same owner 66

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

View all 66

Practitioners & affiliated clinicians

Practitioners 26

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 26

Affiliated clinicians 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1831186311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 HEALTH PARK LANE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "49085",
            "telephone_number": "269-429-7100",
            "fax_number": "269-429-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 HEALTH PARK LANE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "49085",
            "telephone_number": "269-429-7100",
            "fax_number": "269-429-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE AT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "GRUBER",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "269-429-7100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": "753511",
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "08702",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1791920",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Circle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Caring Circle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corewell Health Hospice & Palliative Care Southwest Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.