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REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME
NPI 1548614910
Hospice Care, Community Based in Saint John, IN

Active since April 21, 2016
10700 PARK PL, SAINT JOHN, IN 46373(800) 509-2800(708) 342-8006 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rest Haven Illiana Christian Convalescent Home NPPES

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

REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME (NPI 1548614910), doing business as Providence Hospice, is a healthcare organization registered as a hospice care, community based in Saint John, Indiana and active in the NPI registry since April 2016. The organization lists Johanna Zandstra, Vice President Of Operations, as its authorized official.

NPPES Registry Identity

NPI1548614910
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameREST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME
Location Address10700 PARK PLSaint John, IN 46373-8666
Mailing Address18601 N Creek DrTinley Park, IL 60477-6397 · (708) 342-8100 · Fax (708) 342-8006
Phone(800) 509-2800
Fax(708) 342-8006
Organization SubpartNo
Authorized OfficialJohanna ZandstraVice President Of Operations · (708) 342-8100
Enumeration DateApril 21, 2016
Last NPPES UpdateMay 26, 2026
NPPES CertifiedMay 26, 2026
✔ NPI 1548614910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X
10700 PARK PL, Saint John, IN 46373
Open in Google Maps ↗

Other Names 2

Doing Business AsProvidence Hospice
Doing Business AsProvidence Life Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rest Haven Illiana Christian Convalescent Home is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Rest Haven Illiana Christian Convalescent Home, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Brittany Hausmann, AGACNP-BC
Nurse Practitioner
NPI 1609207323
4321 FIR ST
East Chicago, IN 46312
(219) 392-7400
✔ PECOS✔ Accepts Medicare15 mi
Michelle Buikema, NP-C
Nurse Practitioner
NPI 1760757280
5101 WILLOW SPRINGS RD
La Grange, IL 60525
(708) 245-4073
✔ PECOS✔ Accepts Medicare35 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Providence Hospice, Inc (CMS certification number 151624), from CMS Care Compare.

Providence Hospice, Inc

Hospice · Saint John, IN
OwnershipFor-Profit
CMS Certification Number151624
CMS RegionRegion 5
Medicare-Certified SinceAugust 28, 2017
Average Daily Census9patients per day on average
Location10700 Park PlaceSaint John, IN 46373 · Lake County
Phone(800) 509-2800
Routine home care and other levels of care Serves Medicare Advantage patients Serves dual-eligible patients

Care Settings & Patients

Where care was provided, as a share of care days
Home47%
Assisted living facility0%
Nursing facility0%
Skilled nursing facility51%
Inpatient hospice facility0%
Inpatient hospital0%
Other locations2%
Patients with cancer
20%
Patients with dementia
31%
Patients with circulatory or heart disease
0%
Patients with respiratory disease
0%
Patients with stroke
16%
Patients with other conditions
0%
Profile statistics are from the 2020 CMS reporting year. Zero values reflect that year and may differ in more recent years.

Quality Measures

Hospice and Palliative Care Treatment Preferences
123 patient stays
100%
Beliefs & Values Addressed (if desired by the patient)
123 patient stays
100%
Hospice and Palliative Care Pain Screening
123 patient stays
99.2%
Hospice and Palliative Care Pain Assessment
55 patient stays
100%
Hospice and Palliative Care Dyspnea Screening
123 patient stays
100%
Hospice and Palliative Care Dyspnea Treatment
48 patient stays
95.8%
Patient Treated with an Opioid Who Are Given a Bowel Regimen
30 patient stays
100%
Hospice and Palliative Care Composite Process Measure
123 patient stays
97.6%
Hospice Visits in the Last Days of Life
178 patient stays
53.4%
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.
10/10
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 16
26.4%
Early live discharges
National percentile 53
6.3%
Late live discharges
National percentile 8
18.8%
Burdensome transitions, Type 1
National percentile 65
9.4%
Burdensome transitions, Type 2
National percentile 76
3.1%
Per-beneficiary spending
National percentile 17
$10,830
Nurse care minutes per routine home care days
National percentile 79
15.5 minutes
Skilled nursing minutes on weekends
National percentile 58
8.7%
Visits near death
National percentile 81
97.1%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

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 Rest Haven Illiana Christian Convalescent Home's NPI number?

The NPI number for Rest Haven Illiana Christian Convalescent Home is 1548614910. It was assigned to this organization in the NPPES registry on April 21, 2016. The provider is doing business as Providence Hospice and Providence Life Services.

Where is Rest Haven Illiana Christian Convalescent Home located?

Rest Haven Illiana Christian Convalescent Home is located at 10700 Park Pl, Saint John, IN 46373. The listed phone number is (800) 509-2800.

What is Rest Haven Illiana Christian Convalescent Home's specialty?

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

Is Rest Haven Illiana Christian Convalescent Home enrolled in Medicare?

Yes. Rest Haven Illiana Christian Convalescent Home is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rest Haven Illiana Christian Convalescent Home?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Rest Haven Illiana Christian Convalescent Home. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Is Rest Haven Illiana Christian Convalescent Home a Medicare-certified hospice?

Yes. Providence Hospice, Inc is a Medicare-certified hospice (CMS certification number 151624), certified since August 28, 2017.

When was this NPI record last updated?

The NPPES record for Rest Haven Illiana Christian Convalescent Home was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.