NPIMap

Organization Active NPI

Reverence Home Health & Hospice, LLC

Doing business as Compassus

  • Pharmacy
  • Warren, MI
National Provider Identifier
1013661958
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
REVERENCE HOME HEALTH & HOSPICE, LLC
Doing business as
Compassus
Practice address
28120 Dequindre Rd
Warren, MI 48092-5603
Phone
(586) 913-0333
Fax
(586) 263-3306
NPI assigned
Feb 9, 2022
Last updated
Nov 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Russell Adkins
Title
SVP, Chief Legal Officer
Phone
(615) 926-0340

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X Primary
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 1

  • Compassus Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250408000766 MI Part B Supplier - Home Infusion Therapy Supplier 2668372889 Practice locations: Warren, MI

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Reverence Home Health Hospice LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

34405 W 12 Mile Rd
Ste 130
Farmington Hills, MI 48331
Phone (800) 248-2298

1000 Health Park Blvd
#A
Grand Blanc, MI 48439
Phone (810) 344-8383

801 S Waverly Rd
Ste 201
Lansing, MI 48917
Phone (248) 209-4970

5136 Lovers Ln
Ste 200A
Portage, MI 49002
Phone (269) 459-3700

5220 Lovers Ln
Ste 130
Portage, MI 49002
Phone (269) 459-3693

716 German St
Tawas City, MI 48763
Phone (989) 310-4003

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Compassus Home HealthGrand Blanc, MI, CCN 237073 Home health agency Operational/Managerial Control (100%) Jan 1, 2013

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1013661958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CADILLAC DR STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271001",
            "telephone_number": "417-841-4834",
            "fax_number": "866-955-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28120 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925603",
            "telephone_number": "586-913-0333",
            "fax_number": "586-263-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVERENCE HOME HEALTH & HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "SVP, CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "615-926-0340"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.