Inhouse Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

INHOUSE HOSPICE, LLC

Practice address

30800 Telegraph Rd Ste 1975
Bingham Farms, MI 48025-4572

Phone

(248) 283-7500

Fax

(248) 283-7519

NPI assigned

Feb 24, 2022

Last updated

Sep 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura A Wagner

Title

President/Ceo

Phone

(248) 283-7500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316693757. Details of each certification follow.

• CCN 231701 Hospice · Active · Details

Hospice certification: CCN 231701

Legal name

INHOUSE HOSPICE, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 15, 2022

Last certification

Sep 15, 2022

Organization structure

LLCProprietary

Incorporated

Sep 13, 2021 in MI

Enrollment address

30800 Telegraph Rd
Ste 1975
Bingham Farms, MI 48025-4572

Listed as

Inhouse Hospice, LLCCCN 231701 · All quality measures

Certified

Sep 15, 2022

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Inhouse Hospice LLC2 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.

• Inhouse Hospice, LLC

  • Community Based Hospice Care Agency
  • Burton, MI
  • NPI 1770438186
  NPD tax ID

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Quadir Jaleel, M.D.

  • Internal Medicine Physician
  • Hamtramck, MI
  • NPI 1225016256

  Contracted Managing Employee

  CMS ownership
• Bernardo A Rojas Jr., MD

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1841498524

  5% Or Greater Direct Ownership Interest, Limited Partnership Interest

  CMS ownership

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Inhouse Hospice, LLC

  • Community Based Hospice Care Agency
  • Burton, MI
  • NPI 1770438186
  NPPES parent name

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ronald Y Barnett, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Livonia, MI
  • NPI 1760492011

  Hospice

  Care Compare affiliation
• Marcel Elanjian, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Dearborn, MI
  • NPI 1861485500

  Hospice

  Care Compare affiliation
• Leonard Eugene Ellison Jr., MD

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1679575328

  Hospice

  Care Compare affiliation
• Quadir Jaleel, M.D.

  • Internal Medicine Physician
  • Hamtramck, MI
  • NPI 1225016256

  Hospice

  Care Compare affiliation
• Svetlana M Mishulin, MD

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1841308996

  Hospice

  Care Compare affiliation
• Bernardo A Rojas Jr., MD

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1841498524

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1316693757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30800 TELEGRAPH RD STE 1975",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254572",
            "telephone_number": "248-283-7500",
            "fax_number": "248-283-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30800 TELEGRAPH RD STE 1975",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254572",
            "telephone_number": "248-283-7500",
            "fax_number": "248-283-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INHOUSE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "248-283-7500"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.