CUSTOM HOSPICE LLC NPI 1558613281

NPI Information

NPI: 1558613281
Provider Name: CUSTOM HOSPICE, LLC

Former Legal Business Name: ADVANCED PRO HOSPICE, LLC

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

CLIA Number: 23D2051736

Address:
888 W BIG BEAVER RD STE 900
TROY, MI
ZIP 48084
Phone: (248) 582-7400
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CUSTOM HOSPICE, LLC is a hospice care community based in Troy, MI. CUSTOM HOSPICE, LLC NPI is 1558613281. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Advanced Pro Hospice, Llc.

The provider's business location address is:

888 W BIG BEAVER RD STE 900
TROY, MI
ZIP 48084-771
Phone: (248) 582-7400
Fax: (248) 809-5824

The provider's authorized official is Sean Fossee .
The authorized official title is Owner and has the following contact phone number (248) 582-7400.

The CLIA number assigned to this NPI record is 23D2051736 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2012 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
1	251G00000X	Hospice Care, Community Based				Yes

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

NPI Synchronization or Removal

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