Organization Active NPI

Hospice Advantage, LLC.

  • Home Health Agency
  • Bay City, MI
National Provider Identifier
1124017538
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Oct 8, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0E972OtherMIBCBS OF MICHIGAN
01003151OtherMIHEALTH PLUS OF MICHIGAN
4791502MedicaidMI

Other names 1

  • Home Advantage Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.