Organization Active NPI

Op Hospice, Inc

  • Inpatient Hospice
  • Southfield, MI
National Provider Identifier
1194890814
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
Legal business name
OP HOSPICE, INC
Practice address
24293 Telegraph Rd
Suite 102
Southfield, MI 48034-3011
Phone
(800) 311-5365
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Authorized official

Name
Ms. Laura Wagner
Title
President
Phone
(800) 311-5365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Hospice 315D00000X Primary

Addresses

Primary practice location

24293 Telegraph Rd
Suite 102
Southfield, MI 48034-3011

Mailing address

24293 Telegraph Rd
Suite 102
Southfield, MI 48034-3011
Phone (800) 311-5365

Other identifiers 1

IdentifierTypeStateIssuer
3203132MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1194890814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24293 TELEGRAPH RD",
            "address_2": "SUITE 102",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480343011",
            "telephone_number": "800-311-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24293 TELEGRAPH RD",
            "address_2": "SUITE 102",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480343011",
            "telephone_number": "800-311-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OP HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-311-5365",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3203132",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.