Heritage Home Hospice, Llc, NPI 1952456857
Community Based Hospice Care Agency in Troy, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1952456857
NPI Entity Type Organization
Provider Name Heritage Home Hospice, Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 500 Kirts Blvd, Ste 250, Troy, MI, US
Provider Mailing Address Po Box 99278, Troy, MI, US, 480999278
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Matthew Chance
Official Position CEO/AUTHORIZED OFFICIAL
Phone 248-824-6000

Primary Taxonomy

Taxonomy Code

251G00000X

Taxonomy Name Community Based Hospice Care Agency
Classification

Hospice Care, Community Based

Group

Agencies

License No. 1041000120
License State MI
Description Definition to come...

Other Organization Name

Grace Hospice
Other Name

Business Address

Heritage Home Hospice, Llc
500 Kirts Blvd
Ste 250

Troy, MI, US

Phone: 248-837-4390
Fax: 248-591-0152

Mailing Address

Heritage Home Hospice, Llc
Po Box 99278
Troy, MI, US
ZIP 480999278
Phone: 248-824-6609
Fax: 855-618-6655

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1041000102 MI STATE HOSPICE LICENSE 01
1041000102 MI MEDICAID 05

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