MEDICARE: MARY FREE BED HOSPICE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1609715697
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARY FREE BED HOSPICE, LLC

Provider Business Mailing Address
First Line	:	5440 CORPORATE DR STE 400
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48098-2645
Country	:	US
Telephone Number	:	866-902-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2944 FULLER AVE NE STE 301
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49505-3784
Country	:	US
Telephone Number	:	855-602-2500
Fax Number	:	855-632-4329

Authorized Official
Title or Position	:	DIRECTOR OF REGULATORY AFFAIRS
Name	:	KAREN SLOAF
Credential	:
Telephone Number	:	855-602-2500

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

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