HOSPICE ADVANTAGE, LLC (NPI# 1104928332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104928332 |
Entity Type | Organization |
Organization Name | HOSPICE ADVANTAGE, LLC |
Other Organization Name | HOSPICE ADVANTAGE, INC |
Practice Address |
951 Main St Suite 120 Union Grove WI 53182-1039 |
Mailing Address |
401 Center Ave Bay City MI 48708-5939 |
Practice Telephone | 2628644145 |
Practice Fax Number | 2628644209 |
Mailing Telephone | 9898912206 |
Mailing Fax Number | 9898935268 |
Enumeration Date | 2006-09-01 |
Last Update Date | 2013-01-15 |
Authorized Official Name | KAYANNE MYNSBERGE (COO) |
Authorized Official Telephone | 9898912210 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | 2017 | WI | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 43190800 | 05 |
Other Name | Type Code |
---|---|
Hospice Advantage, Inc | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053912592 | Hospice Advantage, LLC | Internal Medicine | 801 S Waverly Rd Ste 200, Lansing, MI 48917-4200 | 2020-11-02 |
1396205696 | Hospice Advantage, LLC | Internal Medicine | 107 Southern Blvd Ste 203, Savannah, GA 31405-7435 | 2019-03-22 |
1992261838 | Hospice Advantage, LLC | Nurse Practitioner | 100 Crescent Center Pkwy Ste 220, Tucker, GA 30084-7049 | 2019-02-15 |
1518062579 | Hospice Advantage, LLC | Hospice Care, Community Based | 79 N Pioneer Rd, Fond Du Lac, WI 54935-9401 | 2006-09-14 |
1518071489 | Hospice Advantage, LLC | Home Health | 3217 W M 76 Ste B, West Branch, MI 48661 | 2006-08-18 |
1750494514 | Hospice Advantage, LLC | Hospice Care, Community Based | 220 N State Route 7, Pleasant Hill, MO 64080-1426 | 2006-08-16 |
1558305334 | Hospice Advantage, LLC | Hospice Care, Community Based | 100 Crescent Center Pkwy, Suite 220, Tucker, GA 30084-7060 | 2006-06-15 |
1497709802 | Hospice Advantage, LLC | Hospice Care, Community Based | 300 Chastain Center Blvd, Suite 345, Kennesaw, GA 30144-5557 | 2006-05-20 |
1487608063 | Hospice Advantage, LLC | Home Health | 1155 Quail Ct, Pewaukee, WI 53072-3780 | 2006-05-19 |
1548236557 | Hospice Advantage, LLC | Hospice Care, Community Based | 801 S Waverly Rd, Suite 200, Lansing, MI 48917-5202 | 2006-02-28 |
Street Address |
951 MAIN ST SUITE 120 |
City | UNION GROVE |
State | WI |
Zip Code | 53182-1039 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063668945 | Elizabeth P Kravig | Dentist | 951 Main St, Suite 100, Union Grove, WI 53182-1343 | 2008-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770134843 | Cory Harpe | Technician | 23338 18th St., Union Grove, WI 53182 | 2019-09-20 |
1477925121 | Michael Joseph Gillen | Psychologist | 21425 Spring Street, Union Grove Va Clinic, Union Grove, WI 53182 | 2015-10-21 |
1881738615 | Roxanne Roese | Nurse Practitioner | 21425b Spring Street, Union Grove, WI 53182 | 2007-02-16 |
1821192444 | Lynn Ann Fredrickson | Registered Nurse | 15134 Washington Ave, Union Grove, WI 53182 | 2006-09-12 |
1619486776 | Adam Lee Wesner | Social Worker | 21425 Spring St, Union Grove, WI 53182 | 2017-09-21 |
1912441569 | Amie Koehnlein | Counselor | 1120 Main St, Union Grove, WI 53182 | 2016-12-15 |
1417337247 | Laura Brantman-johnson | Registered Nurse | 4320 67th Dr, Union Grove, WI 53182 | 2015-06-06 |
1932142197 | Catherine A Russell | Social Worker | Va Clinic, 21425 Spring, Union Grove, WI 53182 | 2006-06-14 |
1992759161 | Union Grove Yorkville Fire Rescue | Ambulance | 700 Main St, Union Grove, WI 53182-1048 | 2006-05-20 |
1144501099 | Joshua M Rode | Physical Therapy Assistant | 1420 Park Pl Apt 10, 10, Union Grove, WI 53182-1058 | 2011-09-06 |
Find all providers in zip 53182 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992317762 | Castle Senior Living, Inc | Hospice Care, Community Based | 13050 W Cleveland Ave, New Berlin, WI 53151-4013 | 2020-08-21 |
1982215307 | Moments Hospice of Appleton LLC | Hospice Care, Community Based | 806 Valley Rd Ste 1, Menasha, WI 54952-1120 | 2020-08-10 |
1992316319 | Moments Hospice of Madison LLC | Hospice Care, Community Based | 5315 Wall St Ste 135, Madison, WI 53718-7963 | 2020-08-10 |
1912531997 | Moments Hospice of Milwaukee | Hospice Care, Community Based | 1139 S Sunnyslope Dr Ste 200, Mt Pleasant, WI 53406-3998 | 2020-02-27 |
1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
1871052944 | Kenya Pratt | Hospice Care, Community Based | 5510 N 33rd St, Milwaukee, WI 53209-4834 | 2019-03-18 |
1518432749 | Brighton Hospice Wisconsin | Hospice Care, Community Based | 300 N Executive Dr Ste 110, Brookfield, WI 53005-6016 | 2018-10-03 |
1184136939 | Legacy Hospice Cares LLC | Hospice Care, Community Based | 850 Elm Grove Rd Ste 21, Elm Grove, WI 53122-2527 | 2017-11-02 |
1720523210 | Holistic Hospice Inc | Hospice Care, Community Based | 3422 W Howard Ave, Greenfield, WI 53221-1208 | 2016-12-20 |
1740722586 | Bani Inc | Hospice Care, Community Based | 7434 N Lannon Rd, Lannon, Lannon, WI 53046-9746 | 2016-11-10 |
Find all providers with the same taxonomy |
City | UNION GROVE |
Zip Code | 53182 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.