STILLWATER HOSPICE
NPI 1508902339
Hospice Care, Community Based in Fort Wayne, IN

NPI Status: Active since January 29, 2007

Contact Information

5910 HOMESTEAD RD
FORT WAYNE, IN
ZIP 46814
Phone: (260) 435-3222
Fax: (260) 435-3275

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  • Organization
  • Hospice Care, Community Based
  • Accepts Insurance

About STILLWATER HOSPICE

This page provides the complete NPI Profile along with additional information for Stillwater Hospice, a provider established in Fort Wayne, Indiana operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1508902339 assigned on January 2007. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Stillwater Hospice. The authorized official of this NPI record is Leslie Friedel (Ceo)

NPI
1508902339
Provider Legal Name
VISITING NURSE AND HOSPICE HOME INC
Other Organization Name
STILLWATER HOSPICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5910 HOMESTEAD RD FORT WAYNE, IN 46814
Location Phone
(260) 435-3222
Location Fax
(260) 435-3275
Mailing Address
5910 HOMESTEAD RD FORT WAYNE, IN 46814
Mailing Phone
(260) 435-3222
Mailing Fax
(260) 435-3275
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-29-2007
Last Update Date
06-23-2023
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According to the Hospice Quality Reporting Program (HQRP) data this facility is non-profit and was certified on 03-18-1987 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License State
IN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LESLIE FRIEDEL

Authorized Official Title
CEO
Authorized Official Phone
(260) 435-3222

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200141410AMEDICAID (05)IN 

Hospice Care Information

The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.

CMS Certification Number (CCN)151503
Ownership TypeNon-Profit
Medicare Certification Date03-18-1987
Quality Measure Measure Score
Average Daily Census
Number of patients cared for by a hospice on average each day
226.0
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year
1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage
Yes
Hospice served at least 1 patient enrolled in Medicare Advantage during one year
1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage
Yes
Care Provided in Assisted Living Facility
Percentage of days patients received care in an assisted living facility
9
Care Provided in Home
Percentage of days patients received care in home
51
Care Provided in Inpatient Hospice Facility
Percentage of days patients received care in an inpatient hospice
1
Care Provided in Inpatient Hospital Facility
Percentage of days patients received care in an inpatient hospital
Not Available - Number of patients is too small to report.
Care Provided in Nursing Facility
Percentage of days patients received care in a nursing facility
36
Care Provided in All other locations
Percentage of days patients received care in other locations
Not Available - Number of patients is too small to report.
Care Provided in Skilled Nursing Facility
Percentage of days patients received care in a skilled nursing facility
Not Available - Number of patients is too small to report.
Hospice and Palliative Care Treatment Preferences
Facility observed rate
100.0
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
100.0
Hospice and Palliative Care Pain Screening
Facility observed rate
100.0
Hospice and Palliative Care Pain Assessment
Facility observed rate
100.0
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
100.0
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
100.0
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
100.0
Hospice and Palliative Care Composite Process Measure
Facility observed rate
100.0
Hospice Visits in the Last Days of Life
1,149
Hospice Visits in the Last Days of Life
Facility observed rate
46.6
Hospice Care Index Overall Score
Facility observed rate
10.0
CHC/GIP provided (% days)
156,450
CHC/GIP provided (% days)
Facility observed rate
1.2
CHC/GIP provided (% days)
90
Gaps in nursing visits (% elections)
880
Gaps in nursing visits (% elections)
Facility observed rate
39.7
Gaps in nursing visits (% elections)
30
Early live discharges (% live discharges)
191
Early live discharges (% live discharges)
Facility observed rate
7.9
Early live discharges (% live discharges)
64
Late live discharges (% live discharges)
191
Late live discharges (% live discharges)
Facility observed rate
44.0
Late live discharges (% live discharges)
62
Burdensome transitions, Type 1(% live discharges)
191
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
11.5
Burdensome transitions, Type 1 (% live discharges)
74
Burdensome transitions, Type 2(% live discharges)
191
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
2.6
Burdensome transitions, Type 2 (% live discharges)
70
Per-beneficiary spending (U.S. dollars $)
2,038
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
13,456
Per-beneficiary spending (U.S. dollars $)
31
Nurse care minutes per routine home care days (minutes)
154,001
Nurse care minutes per routine home care days (minutes)
Facility observed rate
13.9
Nurse care minutes per routine home care days (minutes)
67
Skilled nursing minutes on weekends (% minutes)
2,138,670
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
6.6
Skilled nursing minutes on weekends (% minutes)
33
Visits near death (% decedents)
1,695
Visits near death (% decedents)
Facility observed rate
95.5
Visits near death (% decedents)
68
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
30
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
16
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
8
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
4
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
11
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
13
Provided Routine Home Care and other levels of care
Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level
Yes
Provided Routine Home Care only
The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level
No

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508902339
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2508180436
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 8 + 0 + 4 + 3 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1508902339 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154361855DR. DAVID BRUCE TRIBBLE M.D.
Individual
Family Medicine (Hospice and Palliative Medicine)5910 HOMESTEAD RD
FORT WAYNE, IN 46814
(574) 226-3382
1003057027MRS. JAMIE LYNN PEPPLER FNP-C
Individual
Nurse Practitioner5910 HOMESTEAD RD
FORT WAYNE, IN 46814
(260) 435-3272
1083751002VISITING NURSE AND HOSPICE HOME INC
Organization
Home Health5910 HOMESTEAD RD
FORT WAYNE, IN 46814
(260) 435-3222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508902339, enumerated in the NPI registry as an "organization" on January 29, 2007

The provider is located at 5910 Homestead Rd Fort Wayne, In 46814 and the phone number is (260) 435-3222

This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 29, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.