Organization Active NPI

Reverence Home Health and Hospice

Doing business as Ascension at Home

  • Durable Medical Equipment & Medical Supplies
  • Clinton Township, MI
National Provider Identifier
1497882807
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
REVERENCE HOME HEALTH AND HOSPICE
Doing business as
Ascension at Home
Practice address
37650 Garfield Rd
Clinton Township, MI 48036-2055
Phone
(800) 248-2298
Fax
(586) 723-9455
NPI assigned
Feb 27, 2007
Last updated
Jul 29, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
REVERENCE HOME HEALTH AND HOSPICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Mrs. Steven Scott
Title
VP Revenue Cycle
Phone
(408) 657-2768

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

37650 Garfield Rd
Clinton Township, MI 48036-2055

Mailing address

37650 Garfield Rd
Clinton Township, MI 48036-2055
Phone (800) 248-2298

Other identifiers 2

IdentifierTypeStateIssuer
3481597MedicaidMI
54-0-E0-0701-0OtherMIBLUE CROSS BLUE SHIELD MI

Other names 1

  • Ascension at Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930053320 MI DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Medical Supply Company 2668372889 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Warren, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Reverence Home Hospice LLC

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1497882807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37650 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480362055",
            "telephone_number": "800-248-2298",
            "fax_number": "586-723-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37650 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480362055",
            "telephone_number": "800-248-2298",
            "fax_number": "586-723-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVERENCE HOME HEALTH AND HOSPICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REVERENCE HOME HEALTH AND HOSPICE",
        "enumeration_date": "2007-02-27",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "408-657-2768",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3481597",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "54-0-E0-0701-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.