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NPI Code Detail

MEDICARE: COMMUNITY HOSPICE, INC.

MEDICARE: COMMUNITY HOSPICE, 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
1251G00000XCommunity Based Hospice Care Agency823511MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
208706OTHERMIBLUE CROSS PROVID #

General Provider Information

NPI Number : 1962407486
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HOSPICE, INC.
Provider Business Mailing Address
First Line : 32932 WARREN RD
Second Line : STE 100
City : WESTLAND
State : MI
Zip : 48185-3095
Country : US
Telephone Number : 734-522-4244
Fax Number : 734-522-2099
Provider Business Practice Location Address
First Line : 32932 WARREN RD
Second Line : STE 100
City : WESTLAND
State : MI
Zip : 48185-3095
Country : US
Telephone Number : 734-522-4244
Fax Number : 734-522-2099
Authorized Official
Title or Position : PRESIDENT
Name : MR. THOMAS J. LESONDAK
Credential :
Telephone Number : 734-522-4244
Provider Enumeration Date : 06/21/2005
Last Update Date : 08/22/2020

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Directions to “COMMUNITY HOSPICE, INC. ” Practice Location

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