Advanced Hospice Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ADVANCED HOSPICE CARE LLC

Practice address

4705 Towne Centre Rd Ste 1
Saginaw, MI 48604-2820

Phone

(989) 341-1978

Fax

(989) 341-1706

NPI assigned

Aug 11, 2021

Last updated

Aug 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fnu Atta Ur Rehman

Title

Owner

Phone

(989) 890-1455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821763988. Details of each certification follow.

• CCN 231693 Hospice · Active · Details

Hospice certification: CCN 231693

Legal name

ADVANCED HOSPICE CARE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 17, 2022

Last certification

Mar 17, 2022

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Jul 16, 2021 in MI

Enrollment address

4705 Towne Centre Rd
Ste 1
Saginaw, MI 48604-2820

Listed as

Advanced Hospice Care, LLCCCN 231693 · All quality measures

Ownership

For-Profit

Certified

Mar 17, 2022

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Daniel A Duffy, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Saginaw, MI
  • NPI 1275568016

  Hospice

  Care Compare affiliation
• Zahid Mahmood, DO

  • Family Medicine Physician
  • Caro, MI
  • NPI 1740805464

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1821763988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 TOWNE CENTRE RD STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042820",
            "telephone_number": "989-341-1978",
            "fax_number": "989-341-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 TOWNE CENTRE RD STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042820",
            "telephone_number": "989-341-1978",
            "fax_number": "989-341-1706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4705 Towne Centre Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486042820",
            "country_code": "US",
            "telephone_number": "989-341-1978",
            "fax_number": "989-341-1706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "ATTA UR REHMAN",
        "authorized_official_first_name": "FNU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-890-1455"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.