Holy Family Memorial Hospice



  
2300 Western Ave, Manitowoc
Wisconsin, 54220

 920-320-4235   Maps & Directions
Holy Family Memorial Hospice is a hospice care center situated at Manitowoc, Wisconsin. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Holy Family Memorial Hospice accommodated approx. 118 Medicare beneficiaries whose average age was 84 years in CY2016. Unique hospice identification number provided by medicare to this hospice care is 521527. Holy Family Memorial Hospice comes under the CMS regional office located at Chicago. This CMS regional office covers all hospices located in Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin. Services provided at Holy Family Memorial Hospice mainly includes home health aide, counseling, homemaker, medical social services, medical supply services, nursing services, occupational therapy, physician services, physical therapy, short term inpatient care, speech pathology services.
Holy Family Memorial Hospice provides special care for people who are terminally ill. This involves a team-oriented approach that addresses the medical, physical, social, emotional, and spiritual needs of the patient. Hospice also provides support to the patient’s family or caregiver.


Complete Hospice Profile:
Holy Family Memorial Inc type, unique identification code, ownership type, accreditation,short term inpatient care type, address, contact number, fax number and all other information is provided as below. Recipients can directly walkin or can call on the below given phone number for appointment.
Hospice ID (CCN) 521527
Related CCN ID:527154
Hospice’s Ownership Type:Non-Profit
Short-term inpatient care provided:Acute & Respite care
Accreditation Joint Commission (JC)
Hospice Address:2300 Western Ave, Manitowoc,
Wisconsin, 54220
County:Manitowoc
Phone:920-320-4235
Fax:920-320-8443
CMS Regional Office Chicago
Medicare Certification:
Medicare certification details of Holy Family Memorial Hospice with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:Yes
Medicare Certification Date:16 Nov, 1989
Current Status: Active Provider
Latest visit of the Health or LSC survey: 18 Sep, 2014
Status at the time of certification survey: In Compliance
Waiver of any life safety code: No
Latest Certification Type: Recertification
Certificate Provider: Chicago CMS Regional Office
Provider's Billing ID: 1447350763
MAC National Government Services
CBSA Code 99952 (Rural)
National Hospice Spending and Utilization (2016):
National Hospice Spending and Utilization based on CY2016 for Holy Family Memorial Hospice are stated below it includes number of beneficiaries, average age of beneficiaries accommodated in hospice, total medicare payment amount received by hospice, total charge amount of the hospice.
Beneficiaries 118
RHC Days (in %) 100
Average Age of Beneficiary 84 year
Total Medicare Payment Amount $ 639,677
Total Medicare Standard Payment Amount $ 686,085
Total Charge Amount $ 1,245,557

Average Service Hours per Day

Holy Family Memorial Hospice provided an average of 0.17 hours per day of home health, 0.33 hours per day of Skilled Nursing, 0.06 hours per day of Social Service hospice care.

Average Hospice Care Days

Holy Family Memorial Hospice have 39 Medicare beneficiaries with 7 or fewer hospice care days, 20 Medicare beneficiaries with more than 60 hospice care days, Medicare beneficiaries with more than 180 hospice care days.


Beneficiaries by Gender


Holy Family Memorial Hospice rendered hospice services to 49 Male and 69 Female Medicare beneficiaries in a calendar year.

Beneficiaries by Race


Holy Family Memorial Hospice provided hospice care to 114 White, 4 not disclosed Medicare beneficiaries in a calendar year.

Medicare/Medicaid Eligible Beneficiaries


At Holy Family Memorial Hospice, 46 beneficiaries enrolled in Medicare Advantage and 29 beneficiaries were eligible for Medicaid for at least one month of hospice care in the calendar year.


Beneficiaries with Primary Disease Diagnosis

At Holy Family Memorial Hospice, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 49 of Cancer, 21 of Heart Disease, 22 of Other Diseases

Site-of-service Hospice Beneficiaries

At Holy Family Memorial Hospice, distinct Medicare beneficiaries who received the majority of their hospice care days are 42 at home, 19 in an assisted living facility, 57 in a skilled nursing facility,

Services Provided:
Services available at Holy Family Memorial Hospice are mentioned below along with the information that who will provide the service like whether it will be provided by hospice staff or will be arranged from any 3rd source or outer source.
Services AvailableProvided By
Home Health AideHospice Staff
CounselingHospice Staff
HomemakerHospice Staff
Medical Social ServicesHospice Staff
Medical Supply ServicesHospice Staff
Nursing ServicesHospice Staff
Occupational TherapyHospice Staff
Physician ServicesHospice Staff
Physical TherapyHospice Staff
Short Term Inpatient CareHospice Staff
Speech Pathology ServicesHospice Staff

Quality of Patient Care:
Quality of patient care is measured based on the survey done by the patients who received the hospice care, as well as the experiences of their informal primary caregivers. Main points included in the survey are treatment preferences, beliefs/values addressed (if desired by the patient), pain screening, pain assessment, dyspnea screening, dyspnea treatment,patients treated with an opioid who are given a bowel regimen.
Measure NameScore (in %)National Average
Treatment Preferences 100.098.3
Beliefs/Values Addressed (if desired by the patient) 100.093.6
Pain Screening 99.093.9
Pain Assessment 93.877.7
Dyspnea Screening 100.097.3
Dyspnea Treatment 100.094.6
Patients Treated with an Opioid who are Given a Bowel Regimen 100.093.3
Employee Count:
Holy Family Memorial Hospice employee information is available below according to the service area, it is also divided among volunteer and employed count.
Services Employed CountVolunteer Count
Home Health Aide110
Counseling1 0
Homemaker110
Medical Social Services0.60
Registered Nurses2.60
Physician Services1.2 0
TOTAL27.40
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this hospice are as below. Person's position and contact details are also mentioned below.
Name: Patrick J Brandel
Position: Chief Financial Officer
Contact Number: 920-320-3481
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of stated hospice are as mentioned below.
NPI Number: 1174629075
Parent Organization: Holy Family Memorial Inc
NPI Enumeration Date: 16 Sep, 2006
NPI Last Update On: 20 Apr, 2008
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Holy Family Memorial Hospice are as mentioned below.
SpecializationLicense NumberStateStatus
Home Health 143WisconsinPrimary
Other Medical Identifiers:
Other legacy medical identifiers of the hospice such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
41536200MedicaidWisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 2300 Western Ave, Po Box 2170
Manitowoc, Wisconsin
Zip: 54220-3712
Phone Number: 920-320-8525
Fax Number: 920-320-8616
Patients can reach Holy Family Memorial Inc at 2300 Western Ave, Manitowoc, Wisconsin or can call to book an appointment on 920-320-4235.

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