ANGELA HOSPICE HOME CARE INC. NPI 1003818220

NPI Information

NPI: 1003818220
Provider Name: ANGELA HOSPICE HOME CARE, INC.

Other Name: ANGELA HOSPICE CARE CENTER

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

Address:
14100 NEWBURGH RD
LIVONIA, MI
ZIP 48154
Phone: (734) 464-7810
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ANGELA HOSPICE HOME CARE, INC. is a hospice care community based in Livonia, MI. ANGELA HOSPICE HOME CARE, INC. NPI is 1003818220. The provider is registered as an organization entity type.
The provider Other Name Is Angela Hospice Care Center.

The provider's business location address is:

14100 NEWBURGH RD
LIVONIA, MI
ZIP 48154-010
Phone: (734) 464-7810
Fax: (734) 779-4601

The provider's authorized official is Sister Mary Giovanni .
The authorized official title is President/ceo and has the following contact phone number (734) 953-6046.

The CLIA number assigned to this NPI record is 23D0888076 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2005 and was last updated on 11/5/2008.

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	315D00000X	Hospice, Inpatient		824025	MICHIGAN	No
2	251G00000X	Hospice Care, Community Based		823514	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	08717	OTHER	MICHIGAN	BCBS OF MICHIGAN
2	2587662	MEDICAID	MICHIGAN
3	OP22020	OTHER	MICHIGAN	MEDICARE PART B
4	231527	MEDICARE ID-TYPE UNSPECIFIED	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: 4/28/2024

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