OrganizationActive
Great Lakes Hospice LLC
NPI 1205433778 · Community Based Hospice Care Agency · Glendale, WI
Provider details
- NPI number
- 1205433778
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jeffrey Hoehn, Coo(414) 962-5250
Specialties & taxonomies
Agencies
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5150 N Port Washington Rd Ste 152
Glendale, WI 53217-5453
Phone: (262) 349-5753
Street-level locationGet directions
Mailing address
5150 N Port Washington Rd Ste 152
Glendale, WI 53217-5453
Registry dates
- Enumerated
- 2020-10-07
- Last updated
- 2024-02-07
- Certified
- 2024-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.