Active NPI
Hospice Advantage, LLC.
- Home Health Agency
- Bay City, MI
National Provider Identifier
1124017538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HOSPICE ADVANTAGE, LLC.
- Practice address
- 401 Center Ave
Bay City, MI 48708-5962 - Phone
- (989) 894-9114
- Fax
- (989) 894-9118
- NPI assigned
- Oct 18, 2005
- 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
- Rodney Hildebrant
- Title
- Contractor
- Phone
- (989) 894-9114
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
401 Center Ave
Bay City, MI 48708-5962
Mailing address
401 Center Ave
Bay City, MI 48708-5962
Phone (989) 894-9114
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0E972 | Other | MI | BCBS OF MICHIGAN |
| 01003151 | Other | MI | HEALTH PLUS OF MICHIGAN |
| 4791502 | Medicaid | MI |
Other names 1
- Home Advantage
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Auburn, AL
- NPI 1093238248
Member Of
Locations
6450 Main St
Cass City, MI 48726
Phone (989) 872-5852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444262400000",
"number": "1124017538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 CENTER AVE",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487085962",
"telephone_number": "989-894-9114",
"fax_number": "989-894-9118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 CENTER AVE",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487085962",
"telephone_number": "989-894-9114",
"fax_number": "989-894-9118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE ADVANTAGE, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-18",
"last_updated": "2015-10-08",
"status": "A",
"authorized_official_last_name": "HILDEBRANT",
"authorized_official_first_name": "RODNEY",
"authorized_official_title_or_position": "CONTRACTOR",
"authorized_official_telephone_number": "989-894-9114"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "0E972",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS OF MICHIGAN",
"identifier": "01003151",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4791502",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Home Advantage",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.