ANGELA HOSPICE HOME CARE, INC.
Hospice, Inpatient
Livonia, Michigan
Provider NPI: 1003818220
Organization Information:Organization Name: ANGELA HOSPICE HOME CARE, INC.
Practice Location:
14100 NEWBURGH RD LIVONIA, MI 48154 US
Tel: 734-464-7810 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
14100 NEWBURGH RD LIVONIA, MI 48154 US
Tel: 734-464-7810 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 315D00000X | Nursing & Custodial Care Facilities Hospice, Inpatient | MI | 824025 |
Y | 251G00000X | Agencies Hospice Care, Community Based | MI | 823514 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2587662 | MI | 05 | |
BCBS OF MICHIGAN | 08717 | MI | 01 |
MEDICARE PART B | OP22020 | MI | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin