Peace Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PEACE HOSPICE LLC

Practice address

671 E Big Beaver Rd
Ste 207B
Troy, MI 48083-1422

Phone

(586) 224-9354

Fax

(586) 461-2090

NPI assigned

Jan 13, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Brent Hall, RPTNPI 1821298027

Title

Administrator

Phone

(248) 808-3404

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brent Karl Hall

  • Physical Therapist
  • Clinton TWP, MI
  • NPI 1821298027
  NPD Authorized official

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1619628344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 E BIG BEAVER RD",
            "address_2": "STE 207B",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831422",
            "telephone_number": "586-224-9354",
            "fax_number": "586-461-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 E BIG BEAVER RD",
            "address_2": "STE 207B",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831422",
            "telephone_number": "586-224-9354",
            "fax_number": "586-461-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-808-3404",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.