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NPI Code Detail

MEDICARE: ANGELA HOSPICE HOME CARE, INC.

MEDICARE: ANGELA HOSPICE HOME CARE, 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
1315D00000XInpatient Hospice824025MI
2251G00000XCommunity Based Hospice Care Agency823514MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3OP22020OTHERMIMEDICARE PART B

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
208717OTHERMIBCBS OF MICHIGAN

General Provider Information

NPI Number : 1003818220
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGELA HOSPICE HOME CARE, INC.
Provider Business Mailing Address
First Line : 14100 NEWBURGH RD
Second Line :
City : LIVONIA
State : MI
Zip : 48154-5010
Country : US
Telephone Number : 734-464-7810
Fax Number : 734-779-4601
Provider Business Practice Location Address
First Line : 14100 NEWBURGH RD
Second Line :
City : LIVONIA
State : MI
Zip : 48154-5010
Country : US
Telephone Number : 734-464-7810
Fax Number : 734-779-4601
Authorized Official
Title or Position : PRESIDENT/CEO
Name : SISTER MARY GIOVANNI
Credential : RN, MSA
Telephone Number : 734-953-6046
Provider Enumeration Date : 06/01/2005
Last Update Date : 11/05/2008

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Directions to “ANGELA HOSPICE HOME CARE, INC. ” Practice Location

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