NPIMap

Organization Active NPI

Premier Hospice, LLC

  • Community Based Hospice Care Agency
  • Troy, MI
National Provider Identifier
1003060310
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PREMIER HOSPICE, LLC
Practice address
33333 Dequindre Rd
Suite D
Troy, MI 48083-4624
Phone
(877) 580-1885
Fax
(248) 597-9015
NPI assigned
Nov 13, 2008
Last updated
Apr 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mohammad Qazi, P.T.
Title
President
Phone
(877) 580-1885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

33333 Dequindre Rd
Suite D
Troy, MI 48083-4624

Mailing address

33333 Dequindre Rd
Suite D
Troy, MI 48083-4624
Phone (877) 580-1885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081124000576 MI Part A Provider - Hospice 4587724364 Practice locations: Troy, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003060310. Details of each certification follow.

Hospice certification: CCN 231623

Legal name
PREMIER HOSPICE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 15, 2011
Last certification
Jun 15, 2011
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Aug 21, 2008 in MI
Enrollment address
33259 Dequindre Rd
Ste C
Troy, MI 48083-4628

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Premier HospiceCCN 231623 · All quality measures
Ownership
Other
Certified
Jun 15, 2011
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2011288Premier Hospice33333 Dequindre Road Suite D, Troy, MI 48083Certificate of waiverAug 12, 2026

National Provider Directory

National Provider Directory

Locations

33259 Dequindre Rd
Ste C
Troy, MI 48083
Phone (248) 588-1885

33333 Dequindre Rd
Ste D
Troy, MI 48083
Phone (877) 580-1885

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mohammad a. Qazi Individual 5% Or Greater Direct Ownership Interest Jan 1, 2021 100%
Corporate OfficerCeo Aug 21, 2008
Corporate DirectorBoard Member Aug 21, 2008
W-2 Managing EmployeePresident Aug 21, 2008
Suzan K Brown Individual W-2 Managing EmployeeAd;Director of Clinical Services Jan 24, 2025
Azeem Qazi Individual Corporate OfficerCeo Jun 1, 2023
Talha Mirza Individual Contracted Managing EmployeeAlternate Administrator Jan 24, 2025
Eli Ross Individual Contracted Managing EmployeeMD; Nov 10, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1003060310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33333 DEQUINDRE RD",
            "address_2": "SUITE D",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834624",
            "telephone_number": "877-580-1885",
            "fax_number": "248-597-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33333 DEQUINDRE RD",
            "address_2": "SUITE D",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834624",
            "telephone_number": "877-580-1885",
            "fax_number": "248-597-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "QAZI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-580-1885",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.