Active NPI
O P Hospice, Inc.
- Community Based Hospice Care Agency
- Southfield, MI
National Provider Identifier
1063417384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- O P HOSPICE, INC.
- Practice address
- 24293 Telegraph Rd
Ste 102
Southfield, MI 48034-7905 - Phone
- (248) 799-6133
- NPI assigned
- Jun 14, 2005
- Last updated
- May 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Laura Wagner
- Title
- President
- Phone
- (248) 799-6133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
24293 Telegraph Rd
Ste 102
Southfield, MI 48034-7905
Mailing address
24293 Telegraph Rd
Ste 102
Southfield, MI 48034-7905
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4699855 | Medicaid | MI | |
| 08728 | Other | MI | BLUE CROSS OF MI |
National Provider Directory
National Provider Directory- Tax ID family
- Elara Caring
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Elara Caring
- Community Based Hospice Care Agency
- Bingham Farms, MI
- NPI 1750526620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589932800000",
"number": "1063417384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24293 TELEGRAPH RD",
"address_2": "STE 102",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480347905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24293 TELEGRAPH RD",
"address_2": "STE 102",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480347905",
"telephone_number": "248-799-6133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "O P HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-14",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A",
"authorized_official_last_name": "WAGNER",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-799-6133",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4699855",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MI",
"identifier": "08728",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.