NPIMap

Organization Active NPI

Signature Hospice of Michigan, Inc.

  • Community Based Hospice Care Agency
  • Warren, MI
National Provider Identifier
1114202967
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SIGNATURE HOSPICE OF MICHIGAN, INC.
Practice address
29400 Van Dyke Ave
Warren, MI 48093-2320
Phone
(810) 620-4579
Fax
(586) 486-5976
NPI assigned
Oct 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Nishat Ashfaq
Title
President/Administrator
Phone
(810) 620-4579

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

29400 Van Dyke Ave
Warren, MI 48093-2320

Mailing address

29400 Van Dyke Ave
Warren, MI 48093-2320
Phone (810) 620-4579

National Provider Directory

National Provider Directory
Tax ID family
Signature Hospice of Michigan Inc2 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.

Locations

29400 Van Dyke Ave
Warren, MI 48093
Phone (810) 620-4579

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1114202967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29400 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932320",
            "telephone_number": "810-620-4579",
            "fax_number": "586-486-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29400 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932320",
            "telephone_number": "810-620-4579",
            "fax_number": "586-486-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE HOSPICE OF MICHIGAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "ASHFAQ",
        "authorized_official_first_name": "NISHAT",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "810-620-4579"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.