HOSPICE ADVANTAGE, LLC (NPI# 1518062579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518062579 |
| Entity Type | Organization |
| Organization Name | HOSPICE ADVANTAGE, LLC |
| Other Organization Name | HOSPICE ADVANTAGE, INC |
| Practice Address |
79 N Pioneer Rd Fond Du Lac WI 54935-9401 |
| Mailing Address |
401 Center Ave Bay City MI 48708-5939 |
| Practice Telephone | 9209221560 |
| Practice Fax Number | 9209221563 |
| Mailing Telephone | 9898912206 |
| Mailing Fax Number | 9898935268 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2013-01-16 |
| 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 | WI | Agencies |
| 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 |
| 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 |
| 1275513608 | Hospice Advantage, LLC | Home Health | 1309 S Linden Rd, Suite B, Flint, MI 48532-3443 | 2006-01-20 |
| Street Address |
79 N PIONEER RD |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-9401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407888381 | In Home Health LLC | Hospice Care, Community Based | N6650 Rolling Meadows Dr Ste 1, Fond Du Lac, WI 54937-9471 | 2006-07-07 |
| 1942274717 | Agnesian Healthcare, Inc | Hospice Care, Community Based | 239 Trowbridge Dr, Fond Du Lac, WI 54937-9180 | 2006-02-16 |
| 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 | FOND DU LAC |
| Zip Code | 54935 |
Please comment or provide details below to improve the information on HOSPICE ADVANTAGE, LLC.
| 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.