Henry Ford Allegiance Hospice – Community Based Hospice Care Agency, NPI 1992892301

Henry Ford Allegiance Hospice is a healthcare provider. based in Jackson, Michigan. specializing in Community Based Hospice Care Agency. The organization holds a License No. 383510 (MI). The NPI Number for Henry Ford Allegiance Hospice is 1992892301

Main info

Organization
Name
Henry Ford Allegiance Hospice
NPI
1992892301
Phone
(517) 841-6982
Address
205 N EAST AVE
Authorized Official
ROBIN DAMSCHRODER CFO
Enumeration Date
6 October 2006
Last Update Date
8 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness90
Years active:19State licenses:1Digital endpoints

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Provider Addresses for Henry Ford Allegiance Hospice

  • 205, East Avenue, Grass Lake, Grass Lake Township, Jackson County, Michigan, 49240, United States

    ONE JACKSON SQUARE, SUITE 400

    JACKSON, MI 492011753

    Phone: (517) 841-6982

    Fax: (517) 841-6987

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-09-26

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20080926000227OHospiceMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49201)

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Reviews

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Frequently asked questions

What federal number belongs to Henry Ford Allegiance Hospice?
The federal identifier for Henry Ford Allegiance Hospice is NPI 1992892301.
Is Henry Ford Allegiance Hospice's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize Henry Ford Allegiance Hospice's specialty in plain language?
Clinically, the directory lists Henry Ford Allegiance Hospice with Community Based Hospice Care Agency. Clinical services aligned with this taxonomy classification.
What location shows for Henry Ford Allegiance Hospice?
We surface Jackson, Michigan for Henry Ford Allegiance Hospice based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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