ANGELIC HEART HOSPICE INC. NPI 1245629955

NPI Information

  • NPI: 1245629955
  • Provider Name: ANGELIC HEART HOSPICE, INC.
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • Doing Business As: ANGELIC HEART HOME CARE AND HOSPICE
  • CLIA Number: 23D2090254
  • Address: 10801 S SAGINAW ST STE C
    GRAND BLANC, MI
    ZIP 48439
  • Phone: (810) 243-1910

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NPI Details

ANGELIC HEART HOSPICE, INC. is a hospice care community based in Grand Blanc, MI. ANGELIC HEART HOSPICE, INC. NPI is 1245629955. The provider is registered as an organization entity type.
The provider Is Doing Business As Angelic Heart Home Care And Hospice.

The provider's business location address is:

10801 S SAGINAW ST STE C
GRAND BLANC, MI
ZIP 48439-126
Phone: (810) 243-1910
Fax: (810) 228-7592

The provider's authorized official is Alex Mauricio .
The authorized official title is President and has the following contact phone number (801) 325-0175.

The CLIA number assigned to this NPI record is 23D2090254 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2015 and was last updated on 1/24/2023.

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
1251G00000XHospice Care, Community Based1041000146MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11245629955MEDICAIDMICHIGAN

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: 3/30/2025

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