AXIOM HOSPICE LLC NPI 1659085744

NPI Information

NPI: 1659085744
Provider Name: AXIOM HOSPICE LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 23D2278672

Address:
12815 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195
Phone: (734) 324-3166
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AXIOM HOSPICE LLC is a hospice care community based in Southgate, MI. AXIOM HOSPICE LLC NPI is 1659085744. The provider is registered as an organization entity type.

The provider's business location address is:

12815 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195-109
Phone: (734) 324-3166
Fax: (866) 422-4071

The provider's authorized official is Imran A Khan .
The authorized official title is Owner and has the following contact phone number (734) 324-3166.

The CLIA number assigned to this NPI record is 23D2278672 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2023 and was last updated on 1/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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