1. Home
  2. Directory
  3. Wisconsin
  4. Glendale
  5. Hospice Care Community Based
  6. NPI Profile

GREAT LAKES HOSPICE LLC
NPI 1205433778
Hospice Care, Community Based in Glendale, WI

Active since October 07, 2020CLIA 52D2212848 · Waiver
5150 N PORT WASHINGTON RD STE 152, GLENDALE, WI 53217(262) 349-5753 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2024, Oct 7, 2020 (2 updates tracked since 2020).

About Great Lakes Hospice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES HOSPICE LLC (NPI 1205433778) is a healthcare organization registered as a hospice care, community based in Glendale, Wisconsin and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Jeffrey Hoehn, Coo, as its authorized official.

NPPES Registry Identity

NPI1205433778
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameGREAT LAKES HOSPICE LLC
Location Address5150 N PORT WASHINGTON RD STE 152Glendale, WI 53217-5453
Mailing Address5150 N Port Washington Rd Ste 152Glendale, WI 53217-5453 · (414) 885-0909 · Fax (414) 885-0922
Phone(262) 349-5753
Organization SubpartNo
Authorized OfficialJeffrey HoehnCoo · (414) 962-5250
Enumeration DateOctober 7, 2020
Last NPPES UpdateFebruary 7, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1205433778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
5150 N PORT WASHINGTON RD STE 152, Glendale, WI 53217
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Great Lakes Hospice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWisconsinEnrollment IDO20201030000306Part A · HospiceDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2212848

Great Lakes Hospice LLC · Glendale, WI
Active · expires Feb 7, 2027
CLIA Number52D2212848
Laboratory TypeHospice
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorRhonda Odovero
Laboratory Phone(816) 200-2385
Laboratory LocationGreat Lakes Hospice LLC5150 N Port Washington Rd, Glendale, WI 53217
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for North Shore At Home (CMS certification number 521608), from CMS Care Compare.

North Shore At Home

Hospice · Glendale, WI
OwnershipOther
CMS Certification Number521608
CMS RegionRegion 5
Medicare-Certified SinceOctober 7, 2021
Location5150 N Port Washington Rd Suite 152Glendale, WI 53217 · Milwaukee County
Phone(414) 885-0909

Quality Measures

Hospice and Palliative Care Treatment Preferences
80 patient stays
100%
Beliefs & Values Addressed (if desired by the patient)
80 patient stays
98.8%
Hospice and Palliative Care Pain Screening
80 patient stays
91.3%
Hospice and Palliative Care Pain Assessment
37 patient stays
100%
Hospice and Palliative Care Dyspnea Screening
80 patient stays
100%
Hospice and Palliative Care Dyspnea Treatment
24 patient stays
100%
Patient Treated with an Opioid Who Are Given a Bowel Regimen
25 patient stays
92%
Hospice and Palliative Care Composite Process Measure
80 patient stays
87.5%
Hospice Visits in the Last Days of Life
104 patient stays
70.2%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.
8/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 51
0%
Gaps in nursing visits
National percentile 95
90.4%
Early live discharges
National percentile 29
3.1%
Late live discharges
National percentile 53
40.6%
Burdensome transitions, Type 1
National percentile 65
9.4%
Burdensome transitions, Type 2
National percentile 43
0%
Per-beneficiary spending
National percentile 66
$19,440
Nurse care minutes per routine home care days
National percentile 22
9.7 minutes
Skilled nursing minutes on weekends
National percentile 12
4.6%
Visits near death
National percentile 85
97.6%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLHHA LLC
Home Health
5150 N PORT WASHINGTON RD STE 152
MILWAUKEE, WI 53217
Milwaukee County (414) 885-0909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Hospice LLC's NPI number?

The NPI number for Great Lakes Hospice LLC is 1205433778. It was assigned to this organization in the NPPES registry on October 7, 2020.

Where is Great Lakes Hospice LLC located?

Great Lakes Hospice LLC is located at 5150 N Port Washington Rd Ste 152, Glendale, WI 53217. The listed phone number is (262) 349-5753.

What is Great Lakes Hospice LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Is Great Lakes Hospice LLC enrolled in Medicare?

Yes. Great Lakes Hospice LLC is registered in the Medicare PECOS enrollment system.

When is Great Lakes Hospice LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Wisconsin, Hospice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Great Lakes Hospice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2212848) is associated with this NPI, valid through February 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Great Lakes Hospice LLC a Medicare-certified hospice?

Yes. North Shore At Home is a Medicare-certified hospice (CMS certification number 521608), certified since October 7, 2021.

What insurance does Great Lakes Hospice LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Great Lakes Hospice LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Lakes Hospice LLC was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.