Organization Active NPI

Arbor Hospice, Inc.

  • Home Health Agency
  • Ann Arbor, MI
National Provider Identifier
1487844981
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ARBOR HOSPICE, INC.
Practice address
2366 Oak Valley Dr
Ann Arbor, MI 48103-8944
Phone
(734) 794-5113
Fax
(734) 662-9000
NPI assigned
Jul 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Gloria D Brooks, MPA, CHCE
Title
President & Chief Executive Officer
Phone
(734) 794-5113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2366 Oak Valley Dr
Ann Arbor, MI 48103-8944

Mailing address

2366 Oak Valley Dr
Ann Arbor, MI 48103-8944
Phone (734) 794-5113

Other identifiers 8

IdentifierTypeStateIssuer
0E166OtherMIBLUE CROSS BLUE SHIELD
100125OtherMICARE CHOICES
123952OtherMIGREAT LAKE HEALTH PLAN
000000005460OtherMICAPE HEALTH PLAN
009529OtherMIMIDWEST HEALTH PLAN
HS810003OtherMIMCARE
P08713OtherMIBLUE CARE NETWORK
1610265MedicaidMI

Other names 1

  • Personalized Nursing Service, Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Arbor Hospice Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1487844981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2366 OAK VALLEY DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038944",
            "telephone_number": "734-794-5113",
            "fax_number": "734-662-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2366 OAK VALLEY DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038944",
            "telephone_number": "734-794-5113",
            "fax_number": "734-662-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "734-794-5113",
        "authorized_official_credential": "MPA, CHCE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0E166",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "100125",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKE HEALTH PLAN",
            "identifier": "123952",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPE HEALTH PLAN",
            "identifier": "000000005460",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST HEALTH PLAN",
            "identifier": "009529",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "HS810003",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P08713",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1610265",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personalized Nursing Service, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.