NPIMap

Organization Active NPI

Visiting Nurse Association of Saginaw

Doing business as Covenant Visiting Nurse Association

  • Community Based Hospice Care Agency
  • Saginaw, MI
National Provider Identifier
1851477699
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
733511 Issued in MI
Legal business name
VISITING NURSE ASSOCIATION OF SAGINAW
Doing business as
Covenant Visiting Nurse Association
Practice address
515 N Michigan Ave
Saginaw, MI 48602-4316
Phone
(989) 799-6020
Fax
(989) 583-1745
NPI assigned
Oct 27, 2006
Last updated
Dec 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Ms. Diane M Glasgow, OTR
Title
Director
Phone
(989) 799-6020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 733511 MI Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU

Addresses

Primary practice location

515 N Michigan Ave
Saginaw, MI 48602-4316

Mailing address

515 N Michigan Ave
Saginaw, MI 48602-4316

Other identifiers 2

IdentifierTypeStateIssuer
4982620MedicaidMI
2598352MedicaidMI

Other names 1

  • Covenant Visiting Nurse Association Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120710000311 MI Part A Provider - Hospice 4981869344 Practice locations: Saginaw, MI
O20210308001921 MI Part B Supplier - Clinic/Group Practice 4981869344 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
Practice locations: Saginaw, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851477699. Details of each certification follow.

Hospice certification: CCN 231516

Legal name
VISITING NURSE ASSOCIATION OF SAGINAW
Doing business as
COVENANT AT HOME
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 27, 1986
Last certification
Feb 15, 2013
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Mar 5, 2012 in MI
Enrollment address
515 N Michigan Ave
Saginaw, MI 48602-4316

Other NPIs with the same Medicare PAC ID 2

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

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
Covenant at HomeCCN 231516 · All quality measures
Ownership
Non-Profit
Certified
Aug 27, 1986
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Diane Marie Glasgow Individual Corporate Director Apr 19, 2014
W-2 Managing Employee Apr 19, 2014
Cory Niederstadt Individual W-2 Managing Employee Mar 1, 2022
Adam Tompa Individual Corporate OfficerChairman Dec 31, 2021
Patrice Lanczak Individual Corporate Director Sep 23, 2019
Michael Fiore Individual Corporate Director Jul 1, 2022
Kevin S Albosta Individual Corporate Director Jan 1, 2015
Matthew David Deibel Individual Corporate Director Mar 1, 2024

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 10

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1851477699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024316",
            "telephone_number": "989-799-6020",
            "fax_number": "989-583-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ASSOCIATION OF SAGINAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "GLASGOW",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "989-799-6020",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": "733511",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4982620",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2598352",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Visiting Nurse Association",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Covenant Visiting Nurse Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.