Active NPI
Hope Hospice LLC
- Community Based Hospice Care Agency
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HOPE HOSPICE LLC
- Practice address
- 2125 Butterfield Dr Ste 299
Troy, MI 48084-3441 - Phone
- (248) 955-5100
- Fax
- (248) 528-2646
- NPI assigned
- Jan 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher H Warburton
- Title
- Ceo
- Phone
- (248) 955-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2125 Butterfield Dr Ste 299
Troy, MI 48084-3441
Mailing address
2125 Butterfield Dr Ste 299
Troy, MI 48084-3441
Phone (248) 955-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881234862 | Medicaid | MI |
Other names 2
- Lily Hospice LLC
- Hope Hospice LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | daphene@lilyhospice.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200204001661 | MI | Part A Provider - Hospice | 9436585783 | Practice locations: Troy, MI |
Hospice certification: CCN 231684
- Legal name
- HOPE HOSPICE LLC
- Doing business as
- LILY HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jan 27, 2021
- Last certification
- Jan 27, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Jul 5, 2019 in MI
- Enrollment address
- 2125 Butterfield Dr
Ste 299
Troy, MI 48084-3441
Care Compare: Hospice
Medicare Care Compare- Listed as
- Lily Hospice
- Ownership
- Other
- Certified
- Jan 27, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2241029 | Lily Hospice | Certificate of waiver | Oct 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
26645 W 12 Mile Rd
Ste 211
Southfield, MI 48034
Phone (248) 242-7901
2125 Butterfield Dr
Ste 229
Troy, MI 48084
Phone (248) 955-5100
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Carl L Simcox | 5% Or Greater Direct Ownership Interest | Sep 10, 2021 | 50% |
| Corporate Director | Sep 10, 2021 | ||
| Manzoor a Haroon | Contracted Managing Employee | Sep 21, 2021 | |
| Daphene E Agius | W-2 Managing Employee | Sep 10, 2021 | |
| Christopher H Warburton | 5% Or Greater Direct Ownership Interest | Sep 10, 2021 | 50% |
| Corporate Officer | Sep 10, 2021 | ||
| Corporate Director | Sep 10, 2021 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Taylor, MI
- NPI 1073531034
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1578441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668729600000",
"number": "1881234862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2125 BUTTERFIELD DR STE 299",
"city": "TROY",
"state": "MI",
"postal_code": "480843441",
"telephone_number": "248-955-5100",
"fax_number": "248-528-2646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 BUTTERFIELD DR STE 299",
"city": "TROY",
"state": "MI",
"postal_code": "480843441",
"telephone_number": "248-955-5100",
"fax_number": "248-528-2646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-08",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A",
"authorized_official_last_name": "WARBURTON",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "248-955-5100"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881234862",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "daphene@lilyhospice.com",
"affiliation": "N",
"endpointDescription": "Admin Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2125 Butterfield Dr Ste 299",
"city": "Troy",
"state": "MI",
"country_code": "US",
"postal_code": "480843441",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Lily Hospice LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hope Hospice LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.