MEDICARE: ALL CARE HOSPICE, INC.

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	:	1659838761
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL CARE HOSPICE, INC.

Provider Business Mailing Address
First Line	:	4771 2 MILE RD STE B
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2775
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4771 2 MILE RD STE B
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2775
Country	:	US
Telephone Number	:	989-778-3130
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	IMDAD VERYAMANI
Credential	:
Telephone Number	:	989-778-3130

Provider Enumeration Date	:	02/25/2019
Last Update Date	:	02/25/2019

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