Heritage Home Hospice, Llc, NPI 1952456857
Community Based Hospice Care Agency in Troy, MI, US
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 |
Organization Official
| Official Name | Matthew Chance |
| Official Position | CEO/AUTHORIZED OFFICIAL |
| Phone | 248-824-6000 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Community Based Hospice Care Agency |
| Classification | |
| Group | |
| License No. | 1041000120 |
| License State | MI |
| Description | Definition to come... |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1041000102 | MI | STATE HOSPICE LICENSE | 01 |
| 1041000102 | MI | MEDICAID | 05 |
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