BEAUMONT ASHN, LLC
Hospice, Inpatient
Troy, Michigan
Provider NPI: 1811461734
Organization Information:Organization Name: BEAUMONT ASHN, LLC
Practice Location:
1975 TECHNOLOGY DR STE B TROY, MI 48083 US
Tel: 248-743-9500 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:
1975 TECHNOLOGY DR STE B TROY, MI 48083 US
Tel: 248-743-9500 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 315D00000X | Nursing & Custodial Care Facilities Hospice, Inpatient | ||
Y | 251E00000X | Agencies Home Health |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1563088 | MI | 05 | |
2592813 | MI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin