Providence Hospice, Inc, also known as Providence Life Services is a hospice care center situated at Saint John, Indiana. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Providence Hospice, Inc accommodated approx. 131 Medicare beneficiaries whose average age was 83 years in CY2022. Unique hospice identification number provided by medicare to this hospice care is 151624. Providence Hospice, Inc 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 Providence Hospice, Inc mainly includes home health aide, counseling, medical social services, medical supply services, nursing services, occupational therapy, other, physician services, physical therapy, short term inpatient care, speech pathology services. Providence Hospice, Inc 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:
Providence Life Services 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)
151624
Hospice’s Ownership Type:
Non-Profit (06 Proprietary - Corporation)
Accreditation
Community Health Accreditation Partner (CHAP)
Hospice Address:
10700 Park Place, Saint John, Indiana, 46373
County:
Lake
Phone:
(80-0) -509-2800
Fax:
708-342-8006
CMS Regional Office
Chicago
Medicare Certification:
Medicare certification details of Providence Hospice, Inc with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:
Yes
Medicare Certification Date:
28 Aug, 2017
Current Status:
Active Provider
Latest visit of the Health or LSC survey:
28 Aug, 2017
Status at the time of certification survey:
In Compliance
Latest Certification Type:
Recertification
Certificate Provider:
CMS Regional Office
CBSA Code
23844 (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 Providence Hospice, Inc 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
131
RHC Days (in %)
100
Episode or Stay Count
136
Total Nursing Minutes
108465 Minutes (1807.75 Hours)
Days of Service
6,046
Average Age of Beneficiary
83 year
Average Risk Score of Beneficiaries
3.03
Total Medicare Payment Amount
$ 1,059,519
Total Medicare Standard Payment Amount
$ 1,095,915
Total Medicare Allowed Payment Amount
$ 1,059,519
Total Charge Amount
$ 1,711,088
Average Hospice Visit Count
Providence Hospice, Inc have 1969 skilled nursing visits, 187 social work visits and 786 Number of home health aide visits provided by the home health agency or hospice.
Beneficiaries by Gender
Providence Hospice, Inc rendered hospice services to 44% Male and 56% Female Medicare beneficiaries in a Fiscal year.
Beneficiaries by Race
Providence Hospice, Inc provided hospice care to 87% White, 17% not disclosed Medicare beneficiaries in a Fiscal year.
Medicare/Medicaid Eligible Beneficiaries
At Providence Hospice, Inc, 21% 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 Providence Hospice, Inc, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 24 of Neoplasms & Diseases of the Blood and Blood forming organs, 14 of Endocrine, Nutritional and Metabolic Diseases, 27 of Diseases of the Nervous System, 21 of Diseases of the Circulatory System, 10 of Diseases of the Respiratory System,
Services Provided:
Services available at Providence Hospice, Inc 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
Occupational Therapy
Provided under Arrangement
Other
Provided under Arrangement
Physician Services
Provided under Arrangement
Physical Therapy
Provided under Arrangement
Short Term Inpatient Care
Provided under Arrangement
Speech Pathology Services
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)
99.1
93.6
Pain Screening
96.5
93.9
Pain Assessment
96.0
77.7
Dyspnea Screening
100.0
97.3
Dyspnea Treatment
92.1
94.6
Patients Treated with an Opioid who are Given a Bowel Regimen
96.4
93.3
Employee Count:
Providence Hospice, Inc 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
1
0
Medical Social Services
1.5
0
Registered Nurses
5
0
Practical/Vocational Nurses
1
0
Other Personnel
6
0.2
TOTAL
14.5
0.2
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:
Johanna Zandstra
Position:
Vice President Of Operations
Contact Number:
708-342-8100
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:
1548614910
NPI Enumeration Date:
21 Apr, 2016
NPI Last Update On:
23 Jan, 2024
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Hospice, Inc are as mentioned below.
Specialization
License Number
State
Status
Hospice Care, Community Based
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
18601 N Creek Dr, Tinley Park, Illinois
Zip:
60477-6397
Phone Number:
708-342-8100
Fax Number:
708-342-8006
Patients can reach Providence Life Services at 10700 Park Place, Saint John, Indiana or can call to book an appointment on (80-0) -509-2800.