Residential Hospice LLC
A Medicare group practice based in Maumee, OH: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 0840333589), with 6 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0840333589
- Provider type
- Part A Provider - Hospice, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MI, OH
- Enrollments
- 4
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20100203000831 | MI | Part A Provider - Hospice | 1689904591 |
| O20161025000472 | MI | Part B Supplier - Clinic/Group Practice | 1750836664 |
| O20230207000849 | OH | Part A Provider - Hospice | 1891413597 |
| O20230323000606 | OH | Part B Supplier - Clinic/Group Practice | 1528773132 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Residential Hospice, LLC
dba Residential Palliative Care
- Adult Health Nurse Practitioner
- Maumee, OH
- NPI 1528773132
-
Residential Hospice, LLC
- Community Based Hospice Care Agency
- Troy, MI
- NPI 1689904591
-
Residential Hospice, LLC
dba Residential Palliative Care
- Adult Health Nurse Practitioner
- Troy, MI
- NPI 1750836664
-
Residential Hospice, LLC
dba Residential Hospice
- Community Based Hospice Care Agency
- Maumee, OH
- NPI 1891413597
Practice locations
- Troy, MI2
- Maumee, OH2
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (6).
-
Melissa Baker, AGPCNP-BC
- Primary Care Nurse Practitioner
- Troy, MI
- NPI 1003369307
-
Dayna Buiting, AGNP-BC
- Adult Health Nurse Practitioner
- Troy, MI
- NPI 1992247779
-
Aubrey Michelle McIntosh, NP
- Family Nurse Practitioner
- Oxford, MI
- NPI 1649752312
-
Kimberly Robertson
- Nurse Practitioner
- Sterling Heights, MI
- NPI 1942754213
-
Zoe Grace Sims
- Acute Care Nurse Practitioner
- Troy, MI
- NPI 1811875115
-
Alexa Rae Stortz, NP
- Family Nurse Practitioner
- Troy, MI
- NPI 1083120497
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.