HOSPICE OF JACKSON NPI 1992892301

NPI Information

NPI: 1992892301
Provider Name: HOSPICE OF JACKSON

Doing Business As: HENRY FORD ALLEGIANCE HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
205 N EAST AVE
ONE JACKSON SQUARE, SUITE 400
JACKSON, MI
ZIP 49201
Phone: (517) 841-6982
Get Directions

HOSPICE OF JACKSON is a hospice care community based in Jackson, MI. HOSPICE OF JACKSON NPI is 1992892301. The provider is registered as an organization entity type.
The provider Is Doing Business As Henry Ford Allegiance Hospice.

The provider's business location address is:

205 N EAST AVE
ONE JACKSON SQUARE, SUITE 400
JACKSON, MI
ZIP 49201-753
Phone: (517) 841-6982
Fax: (517) 841-6987

The provider's authorized official is Mark Smith .
The authorized official title is Svp - Cmo, Ceo - Hfamg and has the following contact phone number (517) 205-6407.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 8/9/2019.

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	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		383510	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	1825474-16	MEDICAID	MICHIGAN
2	70031199	OTHER	MICHIGAN	ACS
3	0078	OTHER	MICHIGAN	HEALTH PLAN OF MICHIGAN
4	HS380001	OTHER	MICHIGAN	MCARE
5	50-20015	OTHER	MICHIGAN	PHYSICIAN'S HEALTH PLAN
6	500458	OTHER	MICHIGAN	CARE CHOICE
7	08712	OTHER	MICHIGAN	BLUE CROSS OF MICHIGAN

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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