Organization Active NPI

Beaumont Ashn, LLC

Doing business as Beaumont Home Health and Hospice, LLC

  • Community Based Hospice Care Agency
  • Troy, MI
National Provider Identifier
1851865786
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BEAUMONT ASHN, LLC
Doing business as
Beaumont Home Health and Hospice, LLC
Practice address
1975 Technology Dr # J120
Troy, MI 48083-4247
Phone
(248) 743-9400
NPI assigned
Jan 14, 2019
Last updated
Dec 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Authorized official

Name
Debbie Kirschman
Title
VP Legal Affairs
Phone
(937) 299-1111

Specialties & licenses 1

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

Addresses

Primary practice location

1975 Technology Dr # J120
Troy, MI 48083-4247

Mailing address

1050 Forrer Blvd
Kettering, OH 45420-1472
Phone (937) 299-1111

Other names 2

  • Beaumont Home Health and Hospice, LLC Doing business as
  • Beaumont Hospice Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190225000024 MI Part A Provider - Hospice 8820337504 Practice locations: Troy, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851865786. Details of each certification follow.

Hospice certification: CCN 231574

Legal name
BEAUMONT ASHN LLC
Doing business as
BEAUMONT HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 7, 1996
Last certification
Mar 12, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Dec 31, 2019 in OH
Enrollment address
1975 Technology Dr
Ste J120
Troy, MI 48083-4247

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Beaumont HospiceCCN 231574 · All quality measures
Ownership
For-Profit
Certified
May 7, 1996
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Beaumont Ashn LLC2 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.

Locations

1975 Technology Dr
#J120
Troy, MI 48083
Phone (248) 743-9400

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Kelli Martin Individual W-2 Managing EmployeeField Administrator May 1, 2023
Alternate Solutions Holdings Inc Organization, Kettering, OH Corporation 5% Or Greater Indirect Ownership Interest Jan 1, 2019 50.5%
Everett Neal Individual Corporate OfficerPresident Apr 1, 2022
Michigan Hhah Holdings LLC Organization, Kettering, OH LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2019 100%
Ashn Midco LLC Organization, Kettering, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2019 90%
Irrevocable Trust Tessie Ganzsarto Organization, Kettering, OH 5% Or Greater Indirect Ownership Interest Jan 1, 2019 6.31%
John H Cooke Individual Corporate DirectorMedical Director Apr 15, 2024
Alternate Solutions Health Network LLC Organization, Kettering, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2019 90%
General Atlantic (As) Collections LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest Jan 1, 2019 35.8%
Ashn Holdings LLC Organization, Kettering, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2019 90%
Alternate Solutions Healthcare Southeast Michigan LLC Organization, Kettering, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2019 90%
The Warren D. Ganzsarto Amended Revocable Living Trust Organization, Kettering, OH 5% Or Greater Indirect Ownership Interest Jan 1, 2019 47.31%
William Beaumont Hospital Organization, Southfield, MI Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2019 10%
Warren David Ganzsarto Individual 5% Or Greater Indirect Ownership InterestCeo Jan 1, 2019 47.31%

Owners & managing parties with NPI records 13

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

View all 13

Facilities with the same owner 20

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

View all 20

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2019 Change of OwnershipThis provider was the buyer Beaumont HospiceCCN 231574, MI, NPI 1477587186

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1851865786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 FORRER BLVD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201472",
            "telephone_number": "937-299-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 TECHNOLOGY DR # J120",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834247",
            "telephone_number": "248-743-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT ASHN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "KIRSCHMAN",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "VP LEGAL AFFAIRS",
        "authorized_official_telephone_number": "937-299-1111"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaumont Home Health and Hospice, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beaumont Hospice",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Beaumont Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.