CUSTOM HOSPICE LLC NPI 1306480538

NPI Information

  • NPI: 1306480538
  • Provider Name: CUSTOM HOSPICE, LLC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • Doing Business As: CUSTOM PALLIATIVE CARE
  • Address: 888 W BIG BEAVER RD STE 900
    TROY, MI
    ZIP 48084
  • Phone: (866) 952-9003

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NPI Details

CUSTOM HOSPICE, LLC is an adult health nurse practitioner in Troy, MI. CUSTOM HOSPICE, LLC NPI is 1306480538. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Custom Palliative Care.

The provider's business location address is:

888 W BIG BEAVER RD STE 900
TROY, MI
ZIP 48084-771
Phone: (866) 952-9003
Fax: (866) 952-9004

The provider's authorized official is Sean Fossee .
The authorized official title is Ceo and has the following contact phone number (248) 629-2880.

The enumeration date for this NPI number is 10/31/2019 and was last updated on 3/18/2021.

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
1363LA2200XNurse PractitionerAdult HealthYes

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: 11/21/2025

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