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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2019
- Organization subpart
- Yes
- Parent organization
- REVERENCE HOME HEALTH AND HOSPICE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3481597 | Medicaid | MI | |
| 54-0-E0-0701-0 | Other | MI | BLUE CROSS BLUE SHIELD MI |
Other names 1
- Ascension at Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930053320 | MI | DME Supplier - Pharmacy | 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.
-
dba Compassus
- Home Infusion Therapy Pharmacy
- Warren, MI
- NPI 1487697983
O20100930053320
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.
-
dba St. John Oakland Hospital CRNAs
- Certified Registered Nurse Anesthetist
- Madison Heights, MI
- NPI 1871793505
Member Of
-
dba Ascension Medical Group Birch Run Family Physicians
- Family Medicine Physician
- Birch Run, MI
- NPI 1538266978
Member Of
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.