REVERENCE HOME HEALTH & HOSPICE LLC NPI 1598882110

NPI Information

NPI: 1598882110
Provider Name: REVERENCE HOME HEALTH & HOSPICE, LLC

Doing Business As: ASCENSION AT HOME

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
716 GERMAN ST
TAWAS CITY, MI
ZIP 48763
Phone: (989) 362-4611
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REVERENCE HOME HEALTH & HOSPICE, LLC is a hospice care community based in Tawas City, MI. REVERENCE HOME HEALTH & HOSPICE, LLC NPI is 1598882110. The provider is registered as an organization entity type.
The provider Is Doing Business As Ascension At Home.

The provider's business location address is:

716 GERMAN ST
TAWAS CITY, MI
ZIP 48763-349
Phone: (989) 362-4611
Fax: (989) 362-8771

The provider's authorized official is Steven Scott .
The authorized official title is Vp Revenue Cycle and has the following contact phone number (408) 658-2768.

The CLIA number assigned to this NPI record is 23D2116427 - other - walk in clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 7/29/2019.

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	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based	353512	MICHIGAN	No
2	251G00000X	Hospice Care, Community Based			No
3	251G00000X	Hospice Care, Community Based		MICHIGAN	Yes

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
1	381443395023	OTHER	MICHIGAN	TRICARE HOSPICE PROVIDER
2	08737	OTHER	MICHIGAN	BC BS HOSPICE PROVIDER

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

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