A Change of Seasons Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

A CHANGE OF SEASONS HOSPICE, INC.

Practice address

8201 Port Austin Rd
Pigeon, MI 48755-9633

Phone

(989) 856-2800

Fax

(989) 856-2801

NPI assigned

Apr 30, 2019

Organization subpart

No

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

Authorized official

Name

Charlotte Braun

Title

Ceo

Phone

(989) 856-2800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Hospice certification: CCN 231676

Legal name

A CHANGE OF SEASONS HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 22, 2019

Last certification

Oct 22, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Feb 12, 2019 in MI

Enrollment address

8201 Port Austin Rd
Pigeon, MI 48755-9633

Listed as

A Change of Seasons Hospice, Inc.CCN 231676

Ownership

For-Profit

Certified

Oct 22, 2019

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

All disclosed owners & managing parties 3

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.

• Paul Blakely Scaddan, M.D.

  • Family Medicine Physician
  • Sebewaing, MI
  • NPI 1912944737

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 2

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

• Ali A Khan, MD

  • Internal Medicine Physician
  • Pigeon, MI
  • NPI 1598870503

  Hospice

  Care Compare affiliation
• Paul Blakely Scaddan, M.D.

  • Family Medicine Physician
  • Sebewaing, MI
  • NPI 1912944737

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1962066449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 PORT AUSTIN RD",
            "city": "PIGEON",
            "state": "MI",
            "postal_code": "487559633",
            "telephone_number": "989-856-2800",
            "fax_number": "989-856-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 PORT AUSTIN RD",
            "city": "PIGEON",
            "state": "MI",
            "postal_code": "487559633",
            "telephone_number": "989-856-2800",
            "fax_number": "989-856-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CHANGE OF SEASONS HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "BRAUN",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-856-2800"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Change of Seasons Home Health Care, LLC.
• ABA Services of the Thumb
• Accurate Radiology, P.C.
• Atul C Agrawal, MD
• Paul Ariagno, MD
• Jane Ballard, MSN, FNP-C

• All providers in Pigeon, MI
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.