NPIMap

Organization Active NPI

Marlette Regional Hospital

  • Community Based Hospice Care Agency
  • Marlette, MI
National Provider Identifier
1902981889
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MARLETTE REGIONAL HOSPITAL
Practice address
2770 Main St
Marlette, MI 48453-1141
Phone
(989) 635-4000
Fax
(989) 635-4056
NPI assigned
Oct 26, 2006
Last updated
Aug 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Authorized official

Name
Daniel Guy Babcock
Title
Ceo
Phone
(989) 635-4002

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary
Inpatient Hospice 315D00000X NU

Addresses

Primary practice location

2770 Main St
Marlette, MI 48453-1141

Mailing address

2770 Main St
PO Box 307
Marlette, MI 48453-1141
Phone (989) 635-4000

Other identifiers 4

IdentifierTypeStateIssuer
151791895MedicaidMI
0980897OtherMAHEALTHPLUS
138037OtherMIGREAT LAKES HEALTH PLAN
08705OtherMIBLUE CROSS

Other names 1

  • United Hospice Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070510000587 MI Part A Provider - Hospice 3971408121 Practice locations: Marlette, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902981889. Details of each certification follow.

Hospice certification: CCN 231512

Legal name
MARLETTE REGIONAL HOSPITAL
Doing business as
UNITED HOSPICE SERVICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 19, 1986
Last certification
Jun 15, 2022
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
May 10, 1944 in MI
Enrollment address
2770 Main St
Marlette, MI 48453-1141

Other NPIs with the same Medicare PAC ID 9

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

Care Compare: Hospice

Medicare Care Compare
Listed as
United Hospice ServiceCCN 231512 · All quality measures
Ownership
Non-Profit
Certified
Mar 19, 1986
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Marlette Comm Hosp ER P17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

2770 Main St
Marlette, MI 48453
Phone (989) 635-4000

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Carol L Starling Individual Corporate DirectorBoard Member Jan 1, 2024
Faith Ann Fahrner Individual Corporate DirectorBoard Member Jan 1, 2024
Bluewater Healthcare Network Organization, Sandusky, MI Corporation Operational/Managerial Control Dec 28, 2012
Patrick D Curtis Individual Corporate DirectorBoard Member Jan 1, 2024
Kimberly Gentner Individual Corporate DirectorCfo Jan 1, 2024
Steven Ellis Individual Corporate DirectorBoard Member Jan 1, 2024
Victoria Meiburg Individual Corporate DirectorBoard Member May 10, 2022
Gail Ann Denton Individual Corporate DirectorVice Chairman May 9, 2016
Judy K Brown Individual Corporate DirectorBoard Member Jan 1, 2024
Angela McConnachie Individual Corporate DirectorCeo Jan 1, 2023
W-2 Managing EmployeeCeo Jan 1, 2023
Scott Orr Individual Corporate DirectorBoard Member Nov 2, 2009
Paul Rohling Individual Corporate DirectorBoard Member Jan 1, 2024
Andrew Joseph Daniels Individual Corporate DirectorCeo Jan 1, 2024
Erik Tamlyn Individual Corporate DirectorBoard Member Jan 1, 2024
David Messing Individual Corporate DirectorChairman Oct 9, 2018

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 5

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

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1902981889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 MAIN ST",
            "address_2": "PO BOX 307",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531141",
            "telephone_number": "989-635-4000",
            "fax_number": "989-635-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 MAIN ST",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531141",
            "telephone_number": "989-635-4000",
            "fax_number": "989-635-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLETTE REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "GUY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-635-4002"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151791895",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "0980897",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "138037",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "08705",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Hospice",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "United Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marlette, MI

Sources for this page

Verify at the official NPI Registry.