Organization Active NPI

O P Hospice, Inc.

  • Community Based Hospice Care Agency
  • Southfield, MI
National Provider Identifier
1063417384
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4699855MedicaidMI
08728OtherMIBLUE CROSS OF MI

National Provider Directory

National Provider Directory
Tax ID family
Elara Caring2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.