Reverence Home Health & Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

REVERENCE HOME HEALTH & HOSPICE, LLC

Doing business as

Ascension at Home

Practice address

5220 Lovers LN Ste 140
Portage, MI 49002-1528

Phone

(888) 246-6322

Fax

(810) 762-4110

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Steven Scott

Title

VP Revenue Cycle

Phone

(408) 658-2768

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Ascension at Home Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mymichigan Medical Center Saginaw

  dba Ascension Medical Group Birch Run Family Physicians

  • Family Medicine Physician
  • Birch Run, MI
  • NPI 1538266978

  Member Of

  NPD member

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1023051935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 LOVERS LN STE 140",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021528",
            "telephone_number": "888-246-6322",
            "fax_number": "810-762-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 LOVERS LN STE 140",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021528",
            "telephone_number": "888-246-6322",
            "fax_number": "810-762-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVERENCE HOME HEALTH & HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "408-658-2768"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP HOSPICE",
            "identifier": "7230027",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HOSPICE",
            "identifier": "O8731",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN HOSPICE LICENSE",
            "identifier": "393520",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Portage, MI
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.