Reverence Home Health & Hospice, LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

REVERENCE HOME HEALTH & HOSPICE, LLC

Practice address

1000 Health Park Blvd
Suite a
Grand Blanc, MI 48439-7324

Phone

(810) 344-8383

Fax

(855) 348-3351

NPI assigned

Nov 1, 2012

Organization subpart

No

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

Authorized official

Name

Russell Adkins

Title

SVP Chief Legal Officer

Phone

(615) 309-5668

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Ascension at Home Doing business as

Member of 2

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

• Henry Ford Health Macomb-Oakland Hospital

  • Family Medicine Physician
  • Madison Heights, MI
  • NPI 1720390453

  Member Of

  NPD member
• Mymichigan Medical Center Saginaw

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1518042530

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Reverence Home Health & Hospice, LLC

  • Community Based Hospice Care Agency
  • Warren, MI
  • NPI 1578506077

  Member Of

  NPD member

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1649524331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CADILLAC DR STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271001",
            "telephone_number": "615-377-7022",
            "fax_number": "615-373-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HEALTH PARK BLVD",
            "address_2": "SUITE A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397324",
            "telephone_number": "810-344-8383",
            "fax_number": "855-348-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVERENCE HOME HEALTH & HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "SVP CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "615-309-5668"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "MI",
            "license": "5301009994",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139355",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Christopher Reschak, DO
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• Casey Jerome Reulbach, DO
• Reverence Home Health & Hospice, LLC
• Reverence Home Health & Hospice, LLC
• Reverence Home Health and Hospice
• Reverence Home Health and Hospice, Inc
• Reverence Home Health and Hospice, Inc

• Home Infusion Therapy Pharmacy in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Home Infusion Therapy Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.