Organization Active NPI

Hope Hospice LLC

  • Community Based Hospice Care Agency
  • Troy, MI
National Provider Identifier
1881234862
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Nov 18, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1881234862MedicaidMI

Other names 2

  • Lily Hospice LLC Doing business as
  • Hope Hospice LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address daphene@lilyhospice.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 HospiceCCN 231684
Ownership
Other
Certified
Jan 27, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2241029Lily Hospice2125 Butterfield Drive Suite 299, Troy, MI 48084Certificate of waiverOct 24, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Carl L Simcox Individual 5% Or Greater Direct Ownership InterestDirector Sep 10, 2021 50%
Corporate DirectorDirector Sep 10, 2021
Manzoor a Haroon Individual Contracted Managing EmployeeMedical Director Sep 21, 2021
Daphene E Agius Individual W-2 Managing EmployeeAdministrator Sep 10, 2021
Christopher H Warburton Individual 5% Or Greater Direct Ownership InterestCeo Sep 10, 2021 50%
Corporate OfficerCeo Sep 10, 2021
Corporate DirectorCeo 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.

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

Verify at the official NPI Registry.