Compassion Care Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMPASSION CARE HOSPICE, LLC

Practice address

1309 S Linden Rd
Ste a
Flint, MI 48532-3443

Phone

(810) 820-4701

NPI assigned

Oct 11, 2016

Organization subpart

No

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

Authorized official

Name

Deema Hannan

Title

Ceo

Phone

(810) 820-4701

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Hospice certification: CCN 231663

Legal name

COMPASSION CARE HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 30, 2018

Last certification

Mar 30, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Aug 1, 2016 in MI

Enrollment address

9463 Holly Rd
Ste 103
Grand Blanc, MI 48439-2557

Listed as

Absolute Hospice ServicesCCN 231663

Ownership

For-Profit

Certified

Mar 30, 2018

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 5

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

Owners & managing parties with NPI records 1

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

• Mohamad Al Jabban, MD

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1831291764

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Mohamad Al Jabban, MD

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1831291764

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1952851230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 S LINDEN RD",
            "address_2": "STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323443",
            "telephone_number": "810-820-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 S LINDEN RD",
            "address_2": "STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323443",
            "telephone_number": "810-820-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION CARE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "HANNAN",
        "authorized_official_first_name": "DEEMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-820-4701"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Advancement Project
• Community Health Hospice Care, LLC
• Community Podiatry Group, P.C.
• Community Programs, Inc.
• Community Recovery Services
• Rachael Elizabeth Compeau, NP
• Complete Eye Care, P.C.
• Complete Eye Care, P.C.
• Complete Health Systems Inc
• Complete Health Systems Inc

• Community Based Hospice Care Agency in Flint, MI
• Providers in Flint, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.

Verify at the official NPI Registry.