Organization Active NPI

Divine Mercy Hospice Inc

  • Community Based Hospice Care Agency
  • Troy, MI
National Provider Identifier
1083851646
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
DIVINE MERCY HOSPICE INC
Practice address
2820 W Maple Rd Ste 201a
Troy, MI 48084-7064
Phone
(248) 324-4663
Fax
(248) 324-4664
NPI assigned
Jan 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
John Lobo
Title
Executive Director
Phone
(248) 324-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X MI Primary

Addresses

Primary practice location

2820 W Maple Rd Ste 201a
Troy, MI 48084-7064

Mailing address

PO Box 1465
Troy, MI 48099-1465
Phone (248) 324-4663

National Provider Directory

National Provider Directory

Locations

28157 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 545-1350

2820 W Maple Rd
Ste 201A
Troy, MI 48084
Phone (248) 324-4663

NPI Registry JSON

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1083851646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1465",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991465",
            "telephone_number": "248-324-4663",
            "fax_number": "248-324-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 W MAPLE RD STE 201A",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847064",
            "telephone_number": "248-324-4663",
            "fax_number": "248-324-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MERCY HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "LOBO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "248-324-4663"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.