Healthcare Provider Details

I. General information

NPI: 1609715697
Provider Name (Legal Business Name): MARY FREE BED HOSPICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2944 FULLER AVE NE STE 301
GRAND RAPIDS MI
49505-3784
US

IV. Provider business mailing address

5440 CORPORATE DR STE 400
TROY MI
48098-2645
US

V. Phone/Fax

Practice location:
  • Phone: 855-602-2500
  • Fax: 855-632-4329
Mailing address:
  • Phone: 866-902-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KAREN SLOAF
Title or Position: DIRECTOR OF REGULATORY AFFAIRS
Credential:
Phone: 855-602-2500