Southerncare South Bend



  
1626 E Day Rd, Mishawaka
Indiana, 46545

 (57-4) -259-0895   Maps & Directions
Southerncare South Bend, also known as Southerncare South Bend is a hospice care center situated at Mishawaka, Indiana. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Southerncare South Bend accommodated approx. 1057 Medicare beneficiaries whose average age was 81 years in CY2022. Unique hospice identification number provided by medicare to this hospice care is 151582. Southerncare South Bend 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 South Bend 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.
Southerncare South Bend 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 South Bend 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) 151582
Hospice’s Ownership Type:For-Profit (06 Proprietary - Corporation)
Accreditation Accreditation Commission for Health Care (ACHC)
Hospice Address:1626 E Day Rd, Mishawaka,
Indiana, 46545
County:St. Joseph
Phone:(57-4) -259-0895
Fax:574-259-0899
CMS Regional Office Chicago
Medicare Certification:
Medicare certification details of Southerncare South Bend with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:Yes
Medicare Certification Date:02 Sep, 2003
Current Status: Active Provider
Latest visit of the Health or LSC survey: 11 Aug, 2016
Status at the time of certification survey: In Compliance
Latest Certification Type: Other
Certificate Provider: CMS Regional Office
Provider's Billing ID: 200451230
CBSA Code 43780 (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 Southerncare South Bend 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 1057
RHC Days (in %) 100
Episode or Stay Count 1090
Total Nursing Minutes 1036185 Minutes (17269.75 Hours)
Days of Service 93,857
Average Age of Beneficiary 81 year
Average Risk Score of Beneficiaries 2.47
Total Medicare Payment Amount $ 15,579,536
Total Medicare Standard Payment Amount $ 16,047,989
Total Medicare Allowed Payment Amount $ 15,579,536
Total Charge Amount $ 19,891,935

Average Hospice Visit Count


Southerncare South Bend have 25522 skilled nursing visits, 4392 social work visits and 18222 Number of home health aide visits provided by the home health agency or hospice.


Beneficiaries by Gender


Southerncare South Bend rendered hospice services to 44% Male and 56% Female Medicare beneficiaries in a Fiscal year.

Beneficiaries by Race


Southerncare South Bend provided hospice care to 92% White, 6% Black, 2% Hispanic, 1% not disclosed Medicare beneficiaries in a Fiscal year.

Medicare/Medicaid Eligible Beneficiaries


At Southerncare South Bend,7% of Medicare beneficiaries received their Medicare correspondence in a rural area based on having a Core-based Statistical Area (CSBA) designation equal to Non-CBSA.
38% 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 Southerncare South Bend, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 20 of Neoplasms & Diseases of the Blood and Blood forming organs, 23 of Diseases of the Nervous System, 37 of Diseases of the Circulatory System, 16 of Diseases of the Respiratory System, 2 of Diseases of the Digestive System, 1 of Diseases of the Genitourinary System,

Services Provided:
Services available at Southerncare South Bend 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
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 99.993.9
Pain Assessment 100.077.7
Dyspnea Screening 99.997.3
Dyspnea Treatment 99.894.6
Patients Treated with an Opioid who are Given a Bowel Regimen 100.093.3
Employee Count:
Southerncare South Bend 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 Aide17.00.0
Counseling7.0 0.0
Medical Social Services7.00.0
Registered Nurses31.00.0
Other Personnel14.0 23.0
Physician Services10.0 0.0
TOTAL86.023.0
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: Janet Combs
Position: Vp Of Licensure
Contact Number: 913-814-2013
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: 1740228832
NPI Enumeration Date: 02 Jun, 2006
NPI Last Update On: 13 Oct, 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 Southerncare South Bend are as mentioned below.
SpecializationLicense NumberStateStatus
Hospice Care, Community Based 14-003723-1IndianaPrimary
Hospice Care, Community Based 050037231IndianaSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the hospice such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
200451230AMedicaidIndiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Po Box 4060,
Mooresville, North Carolina
Zip: 28117-4060
Phone Number: 704-664-2876
Fax Number: 704-664-1306
Patients can reach Southerncare South Bend at 1626 E Day Rd, Mishawaka, Indiana or can call to book an appointment on (57-4) -259-0895.
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