Healthcare Provider Details

I. General information

NPI: 1073906590
Provider Name (Legal Business Name): COMMUNITY HEALTH HOSPICE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2015
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 GATEWAY CTR STE D
FLINT MI
48507-4065
US

IV. Provider business mailing address

30600 NORTHWESTERN HWY STE 245
FARMINGTON HILLS MI
48334-3171
US

V. Phone/Fax

Practice location:
  • Phone: 833-483-2273
  • Fax: 248-479-8126
Mailing address:
  • Phone: 833-483-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number1041000151
License Number StateMI

VIII. Authorized Official

Name: VALERIE JO DEWBRE
Title or Position: COMPLIANCE OFFICER
Credential:
Phone: 214-534-0716