Crest Hospice Care, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CREST HOSPICE CARE, LLC

Practice address

5880 N Canton Center Rd Ste 418
Canton, MI 48187-2616

Phone

(734) 945-7822

NPI assigned

Sep 14, 2021

Organization subpart

No

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

Authorized official

Name

Syed Karim

Title

C.E.O.

Phone

(734) 945-7822

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1093485708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 N CANTON CENTER RD STE 418",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872616",
            "telephone_number": "734-945-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 N CANTON CENTER RD STE 418",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872616",
            "telephone_number": "734-945-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "KARIM",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "734-945-7822"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.