Residential Hospice, LLC
Organization Active NPI Adult Health Nurse Practitioner · Troy, MI
NPI 1750836664 · NPPES record last updated Dec 8, 2025
Key facts
- NPI
- 1750836664
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- Legal business name
- RESIDENTIAL HOSPICE, LLC
- Practice address
- 5440 Corporate Dr
Suite 400
Troy, MI 48098-2646 - Phone
- (866) 902-5854
- Fax
- (866) 903-4000
- NPI assigned
- Aug 20, 2016
- Organization subpart
- No
Authorized official
- Name
- Ms. Leeann Lang
- Title
- Senior VP of Administration
- Phone
- (866) 902-5854
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 4
Practitioners 6
-
Melissa Baker, AGPCNP-BC
-
Dayna Buiting, AGNP-BC
-
Alexa Rae Stortz, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161025000472 | MI | Part B Supplier - Clinic/Group Practice | 0840333589 |
Receives reassigned benefits from 6 practitioners Practice locations: Troy, MI |
National Provider Directory
- Tax ID family
- Residential Hospice LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Adult Health Nurse Practitioner |
363LA2200X | Yes |
Addresses
Primary practice location
5440 Corporate Dr
Suite 400
Troy, MI 48098-2646
Mailing address
5440 Corporate Dr Ste 400
Troy, MI 48098-2645
Phone (866) 902-5854
Other names
- Residential Palliative Care
Other providers in Troy, MI
- Reproductive Medicine Assoc.
- Reset Counseling & Wellness
- Residential Home Health, LLC
- Residential Hospice Illinois, LLC
- Residential Hospice, LLC
- Resilire Neurorehabilitation
- Resilire Neurorehabilitation Afc
- Resolute Physical Therapy & Performance LLC
- Colleen Reveley
- Revitalize Health and Beauty
All providers in Troy, MI · Adult Health Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.