Reverence Home Health & Hospice, LLC
Organization Active NPI Pharmacy · Warren, MI
NPI 1013661958 · NPPES record last updated Nov 25, 2024
Key facts
- NPI
- 1013661958
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- REVERENCE HOME HEALTH & HOSPICE, LLC
- Practice address
- 28120 Dequindre Rd
Warren, MI 48092-5603 - Phone
- (586) 913-0333
- Fax
- (586) 263-3306
- NPI assigned
- Feb 9, 2022
- Organization subpart
- No
Authorized official
- Name
- Russell Adkins
- Title
- SVP, Chief Legal Officer
- Phone
- (615) 926-0340
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 9
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Home infusion therapy
- Medicare-enrolled home infusion therapy supplier
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Compassus Home Health |
Home health agency | Operational/Managerial Control (100%) | Jan 1, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250408000766 | MI | Part B Supplier - Home Infusion Therapy Supplier | 2668372889 | Practice locations: Warren, MI |
National Provider Directory
- Tax ID family
- Reverence Home Health and Hospice
Locations
34405 W 12 Mile Rd
Ste 130
Farmington Hills, MI 48331
Phone (800) 248-2298
801 S Waverly Rd
Ste 201
Lansing, MI 48917
Phone (248) 209-4970
18303 E 10 Mile Rd
Ste 200
Roseville, MI 48066
Phone (313) 445-6920
808 W Cedar St
Bldg A
Standish, MI 48658
Phone (989) 310-4003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
28120 Dequindre Rd
Warren, MI 48092-5603
Mailing address
10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001
Phone (417) 841-4834
Other names
- Compassus
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.