MEDICARE: MOONLITE HOSPICE 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
1	251G00000X	Community Based Hospice Care Agency		MI

General Provider Information

NPI Number	:	1851683320
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOONLITE HOSPICE CARE INC

Provider Business Mailing Address
First Line	:	31153 PLYMOUTH RD
Second Line	:	SUITE 107
City	:	LIVONIA
State	:	MI
Zip	:	48150-2134
Country	:	US
Telephone Number	:	313-662-4958
Fax Number	:

Provider Business Practice Location Address
First Line	:	31153 PLYMOUTH RD
Second Line	:	SUITE 107
City	:	LIVONIA
State	:	MI
Zip	:	48150-2134
Country	:	US
Telephone Number	:	313-662-4958
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/ADMINISTRATOR
Name	:	MR. REHAN ULLAH KHAN
Credential	:
Telephone Number	:	313-662-4958

Provider Enumeration Date	:	05/03/2011
Last Update Date	:	06/20/2018

Similar Medicare Providers

1215860663 — JULIA HUSBY
Practice Location Address:

31153 PLYMOUTH RD STE 105
LIVONIA, MI
48150-2134

Practice Phone: 734-466-5150
Practice Fax:

1487587838 — MADISON MARSHALL
Practice Location Address:

31153 PLYMOUTH RD STE 105
LIVONIA, MI
48150-2134

Practice Phone: 734-466-5150
Practice Fax:

1558294900 — RYAN HALL
Practice Location Address:

31153 PLYMOUTH RD STE 105
LIVONIA, MI
48150-2134

Practice Phone: 734-466-5150
Practice Fax:

1437373552 — MS. RITA KINSTLE MA, LLPC, CAC-M
Practice Location Address:

31153 PLYMOUTH RD , SUITE 104
LIVONIA, MI
48150-2134

Practice Phone: 734-474-8131
Practice Fax:

1003058835 — MOONLITE HOME CARE INC
Practice Location Address:

31153 PLYMOUTH RD , 106
LIVONIA, MI
48150-2134

Practice Phone: 313-354-4215
Practice Fax: 734-448-1649

1063733848 — STARLITE HOME HEALTH CARE, LLC
Practice Location Address:

31153 PLYMOUTH RD , SUITE 102
LIVONIA, MI
48150-2134

Practice Phone: 734-829-8230
Practice Fax:

Directions to “MOONLITE HOSPICE CARE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.