Healthcare Provider Details

I. General information

NPI: 1053124172
Provider Name (Legal Business Name): ALLIED HOSPICE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 CADIEUX RD
DETROIT MI
48224-2271
US

IV. Provider business mailing address

4800 CADIEUX RD
DETROIT MI
48224-2271
US

V. Phone/Fax

Practice location:
  • Phone: 313-885-7841
  • Fax: 313-882-6944
Mailing address:
  • Phone: 313-885-7841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: FARRUKH MOGHUL
Title or Position: OWNER
Credential:
Phone: 313-885-7841