Active NPI
New Century Hospice and Palliative Care, LLC
- Community Based Hospice Care Agency
- Madison Heights, MI
National Provider Identifier
1245971555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- NEW CENTURY HOSPICE AND PALLIATIVE CARE, LLC
- Practice address
- 1389 E 12 Mile Rd
Madison Heights, MI 48071-2654 - Phone
- (248) 997-4988
- Fax
- (248) 547-5215
- NPI assigned
- Apr 2, 2022
- 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
- Nancy P Razalan
- Title
- President/Ceo
- Phone
- (248) 390-9182
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1389 E 12 Mile Rd
Madison Heights, MI 48071-2654
Mailing address
1389 E 12 Mile Rd
Madison Heights, MI 48071-2654
Phone (248) 997-4988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220512000337 | MI | Part A Provider - Hospice | 3870970833 | Practice locations: Madison Heights, MI |
Hospice certification: CCN 231710
- Legal name
- NEW CENTURY HOSPICE AND PALLIATIVE CARE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jan 11, 2023
- Last certification
- Dec 21, 2022
- Ownership / control type
- Proprietary - Partnership
- Organization structure
- LLC
- Incorporated
- Oct 12, 2021 in MI
- Enrollment address
- 1389 E 12 Mile Rd
Madison Heights, MI 48071-2654
Care Compare: Hospice
Medicare Care Compare- Listed as
- New Century Hospice and Palliative Care, LLC
- Certified
- Jan 11, 2023
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2254427 | New Century Hospice and Palliative Care, LLC | Certificate of waiver | Mar 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
1389 E 12 Mile Rd
Madison Heights, MI 48071
Phone (248) 997-4988
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Nancy Pascual Razalan | 5% Or Greater Direct Ownership Interest | Oct 12, 2021 | 99% |
| Corporate Officer | Oct 12, 2021 | 99% | |
| Corporate Director | Oct 12, 2021 | 99% | |
| W-2 Managing Employee | Oct 12, 2021 | 99% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648857600000",
"number": "1245971555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1389 E 12 MILE RD",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480712654",
"telephone_number": "248-997-4988",
"fax_number": "248-547-5215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1389 E 12 MILE RD",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480712654",
"telephone_number": "248-997-4988",
"fax_number": "248-547-5215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW CENTURY HOSPICE AND PALLIATIVE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-02",
"last_updated": "2022-04-02",
"certification_date": "2022-04-02",
"status": "A",
"authorized_official_last_name": "RAZALAN",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "248-390-9182"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.