Organization Active NPI

University Home Hospice, LLC

  • Community Based Hospice Care Agency
  • Livonia, MI
National Provider Identifier
1386386381
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
UNIVERSITY HOME HOSPICE, LLC
Practice address
11585 Farmington Rd
Livonia, MI 48150-5729
Phone
(313) 633-1490
Fax
(313) 800-7084
NPI assigned
Apr 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Ms. Tianna DarwicheNPI 1013614171
Title
President
Phone
(313) 633-1490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

11585 Farmington Rd
Livonia, MI 48150-5729

Mailing address

11585 Farmington Rd
Livonia, MI 48150-5729
Phone (313) 633-1490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220806000223 MI Part A Provider - Hospice 4284016395 Practice locations: Livonia, MI

Hospice certification: CCN 231727

Legal name
UNIVERSITY HOME HOSPICE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 31, 2024
Last certification
Jul 26, 2024
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Sep 15, 2021 in MI
Enrollment address
11585 Farmington Rd
Livonia, MI 48150-5729

Care Compare: Hospice

Medicare Care Compare
Listed as
University Home Hospice, LLCCCN 231727
Certified
Jul 31, 2024
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2267642University Home Hospice LLC11585 Farmington Road, Livonia, MI 48150Certificate of waiverMar 17, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Tianna Darwiche Individual 5% Or Greater Direct Ownership InterestCeo / Administrator Sep 15, 2021 100%
Corporate OfficerCeo / Administrator Sep 15, 2021
Corporate DirectorCeo / Board Member / Administrator Sep 15, 2021
W-2 Managing EmployeeCeo / Administrator Sep 15, 2021
Fadi H Daouk Individual W-2 Managing EmployeeMD; Feb 21, 2025 50%
John William Finn Individual W-2 Managing EmployeeMD; Feb 21, 2025 50%

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1386386381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11585 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481505729",
            "telephone_number": "313-633-1490",
            "fax_number": "313-800-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11585 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481505729",
            "telephone_number": "313-633-1490",
            "fax_number": "313-800-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HOME HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "DARWICHE",
        "authorized_official_first_name": "TIANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-633-1490",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.