Mary T Hospice



  
11777 Xeon Blvd Nw, Coon Rapids
Minnesota, 55443

 (76-3) -516-1027   Maps & Directions
Mary T Hospice, also known as Mary T Home Health - Hospice is a hospice care center situated at Coon Rapids, Minnesota. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Mary T Hospice accommodated approx. 39 Medicare beneficiaries whose average age was 79 years in CY2022. Unique hospice identification number provided by medicare to this hospice care is 241587. Mary T 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 Mary T Hospice mainly includes home health aide, counseling, homemaker, medical social services, medical supply services, nursing services, occupational therapy, other, physician services, physical therapy, short term inpatient care, speech pathology services.
Mary T 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:
Mary T Home Health - Hospice 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) 241587
Hospice’s Ownership Type:For-Profit (06 Proprietary - Corporation)
Accreditation Community Health Accreditation Partner (CHAP)
Hospice Address:11777 Xeon Blvd Nw, Coon Rapids,
Minnesota, 55443
County:Anoka
Phone:(76-3) -516-1027
Fax:763-772-9962
CMS Regional Office Chicago
Medicare Certification:
Medicare certification details of Mary T Hospice with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:Yes
Medicare Certification Date:17 Feb, 2010
Current Status: Active Provider
Latest visit of the Health or LSC survey: 17 Feb, 2010
Certificate Provider: CMS Regional Office
CBSA Code 33460 (Urban)
Federal Certification Status Certified (as on 01 Apr, 2024)
National Hospice Spending and Utilization (2022):
National Hospice Spending and Utilization based on FY 2022 for Mary T 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 39
RHC Days (in %) 100
Episode or Stay Count 41
Total Nursing Minutes 49605 Minutes (826.75 Hours)
Days of Service 3,326
Average Age of Beneficiary 79 year
Average Risk Score of Beneficiaries 1.98
Total Medicare Payment Amount $ 614,645
Total Medicare Standard Payment Amount $ 569,946
Total Medicare Allowed Payment Amount $ 614,645
Total Charge Amount $ 825,185

Average Hospice Visit Count


Mary T Hospice have 823 skilled nursing visits, 58 social work visits and 336 Number of home health aide visits provided by the home health agency or hospice.


Beneficiaries by Gender


Mary T Hospice rendered hospice services to 56% Male and 44% Female Medicare beneficiaries in a Fiscal year.

Beneficiaries by Race


Mary T Hospice provided hospice care to 87% White, 5% not disclosed Medicare beneficiaries in a Fiscal year.

Medicare/Medicaid Eligible Beneficiaries


At Mary T Hospice, 33% of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits, (also be referred to as dual eligibility). Beneficiaries are classified as a dual if in any month in the given calendar year they were receiving full or partial Medicaid benefits.


Beneficiaries with Primary Disease Diagnosis

At Mary T Hospice, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 27 of Neoplasms & Diseases of the Blood and Blood forming organs, 37 of Diseases of the Circulatory System,

Services Provided:
Services available at Mary T 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 ServicesProvided under Arrangement
Nursing ServicesHospice Staff
Occupational TherapyProvided under Arrangement
OtherProvided under Arrangement
Physician ServicesHospice Staff
Physical TherapyProvided under Arrangement
Short Term Inpatient CareProvided under Arrangement
Speech Pathology ServicesProvided 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 NameScore (in %)National Average
Treatment Preferences 100.098.3
Beliefs/Values Addressed (if desired by the patient) 100.093.6
Pain Screening 90.093.9
Pain Assessment Not Available77.7
Dyspnea Screening 100.097.3
Dyspnea Treatment Not Available94.6
Patients Treated with an Opioid who are Given a Bowel Regimen Not Available93.3
Employee Count:
Mary T 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 Aide0.380.0
Counseling0.25 0.0
Homemaker1.00.0
Medical Social Services0.40.0
Registered Nurses1.20.0
Other Personnel0.0 0.05
Physician Services0.03 0.0
TOTAL3.260.05
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: Jason Tjosvold
Position: Cao
Contact Number: 763-567-8951
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: 1346487238
Parent Organization: Mary T Associates Inc
NPI Enumeration Date: 14 Jan, 2009
NPI Last Update On: 24 Jun, 2022
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary T Hospice are as mentioned below.
SpecializationLicense NumberStateStatus
Hospice Care, Community Based 379633MinnesotaPrimary
Other Medical Identifiers:
Other legacy medical identifiers of the hospice such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
379633OtherMinnesotaState License
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 299 Coon Rapids Blvd Nw Ste 204,
Coon Rapids, Minnesota
Zip: 55433-5870
Phone Number: 763-772-9963
Fax Number: 763-772-9962
Patients can reach Mary T Home Health - Hospice at 11777 Xeon Blvd Nw, Coon Rapids, Minnesota or can call to book an appointment on (76-3) -516-1027.
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