Southerncare Green Bay, also known as Southerncare Green Bay is a hospice care center situated at Green Bay, Wisconsin. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Southerncare Green Bay accommodated approx. 346 Medicare beneficiaries whose average age was 85 years in CY2016. Unique hospice identification number provided by medicare to this hospice care is 521581. Southerncare Green Bay 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 Southerncare Green Bay mainly includes home health aide, counseling, medical social services, medical supply services, nursing services, physician services, short term inpatient care, Southerncare Green Bay 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:
Southerncare Green Bay 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)
521581
Hospice’s Ownership Type:
For-Profit
Short-term inpatient care provided:
Acute & Respite care
Accreditation
Accreditation Commission for Health Care (ACHC)
Hospice Address:
1800 W Mason St Suite A, Green Bay, Wisconsin, 54303
County:
Brown
Phone:
920-496-1690
Fax:
920-496-1693
CMS Regional Office
Chicago
Medicare Certification:
Medicare certification details of Southerncare Green Bay with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:
Yes
Medicare Certification Date:
09 May, 2007
Current Status:
Active Provider
Latest visit of the Health or LSC survey:
18 Dec, 2015
Status at the time of certification survey:
Not in Compliance
Waiver of any life safety code:
No
Latest Certification Type:
Recertification
Certificate Provider:
Chicago CMS Regional Office
Provider's Billing ID:
43191100
MAC
Blue Cross (south Carolina)
CBSA Code
24580 (Urban)
National Hospice Spending and Utilization (2016):
National Hospice Spending and Utilization based on CY2016 for Southerncare Green Bay 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
346
RHC Days (in %)
100
Average Age of Beneficiary
85 year
Total Medicare Payment Amount
$ 4,785,503
Total Medicare Standard Payment Amount
$ 5,040,620
Total Charge Amount
$ 6,480,818
Average Service Hours per Day
Southerncare Green Bay provided an average of 0.28 hours per day of home health, 0.26 hours per day of Skilled Nursing, 0.06 hours per day of Social Service hospice care.
Average Hospice Care Days
Southerncare Green Bay have 48 Medicare beneficiaries with 7 or fewer hospice care days, 159 Medicare beneficiaries with more than 60 hospice care days, 63 Medicare beneficiaries with more than 180 hospice care days.
Beneficiaries by Gender
Southerncare Green Bay rendered hospice services to 123 Male and 223 Female Medicare beneficiaries in a calendar year.
Beneficiaries by Race
Southerncare Green Bay provided hospice care to 334 White, 12 not disclosed Medicare beneficiaries in a calendar year.
Medicare/Medicaid Eligible Beneficiaries
At Southerncare Green Bay, 154 beneficiaries enrolled in Medicare Advantage and 137 beneficiaries were eligible for Medicaid for at least one month of hospice care in the calendar year.
Beneficiaries with Primary Disease Diagnosis
At Southerncare Green Bay, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 38 of Cancer, 119 of Dementia, 17 of Stroke, 92 of Heart Disease, 40 of Respiratory 40 of Other Diseases
Site-of-service Hospice Beneficiaries
At Southerncare Green Bay, distinct Medicare beneficiaries who received the majority of their hospice care days are 71 at home, 204 in an assisted living facility, 64 in a skilled nursing facility,
Services Provided:
Services available at Southerncare Green Bay 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 Available
Provided By
Home Health Aide
Hospice Staff
Counseling
Hospice Staff
Medical Social Services
Hospice Staff
Medical Supply Services
Provided under Arrangement
Nursing Services
Hospice Staff
Physician Services
Provided under Arrangement
Short Term Inpatient Care
Provided under Arrangement
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 Name
Score (in %)
National Average
Treatment Preferences
100.0
98.3
Beliefs/Values Addressed (if desired by the patient)
99.6
93.6
Pain Screening
100.0
93.9
Pain Assessment
100.0
77.7
Dyspnea Screening
100.0
97.3
Dyspnea Treatment
100.0
94.6
Patients Treated with an Opioid who are Given a Bowel Regimen
100.0
93.3
Employee Count:
Southerncare Green Bay employee information is available below according to the service area, it is also divided among volunteer and employed count.
Services
Employed Count
Volunteer Count
Home Health Aide
8
0
Counseling
3
0
Medical Social Services
3
0
Registered Nurses
9
0
Other Personnel
0
28
Physician Services
3
0
TOTAL
26
28
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:
Jessica Kleberg
Position:
Vp Of Legal Affairs
Contact Number:
704-664-2876
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:
1992744775
NPI Enumeration Date:
06 Jun, 2006
NPI Last Update On:
13 Nov, 2017
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southerncare Green Bay are as mentioned below.
Specialization
License Number
State
Status
Hospice Care, Community Based
2016
Wisconsin
Primary
Hospice Care, Community Based
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the hospice such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2016
Other
Wisconsin
State License Number
43191100
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
655 Brawley School Rd, Suite 200 Mooresville, North Carolina
Zip:
28117-9125
Phone Number:
704-664-2876
Fax Number:
704-664-1306
Patients can reach Southerncare Green Bay at 1800 W Mason St Suite A, Green Bay, Wisconsin or can call to book an appointment on 920-496-1690.
Other Hospice in Green Bay, WI
Aurora At Home Address: 931 Discovery Rd, Green Bay, WI Phone: 920-288-5100
Compassus Green Bay Address: 3237 Riverside Drive, Green Bay, WI Phone: 920-321-2004