Premier Hospice, LLC
Organization Active NPI Hospice and Palliative Medicine (Internal Medicine) Physician · Troy, MI
NPI 1992198337 · NPPES record last updated Mar 10, 2015
Key facts
- NPI
- 1992198337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X
- Legal business name
- PREMIER HOSPICE, LLC
- Practice address
- 33259 Dequindre Rd
Suite C
Troy, MI 48083-4628 - Phone
- (877) 580-1885
- NPI assigned
- Mar 10, 2015
- Organization subpart
- No
Authorized official
- Name
- Mohammad Qazi, P.T.
- Title
- President
- Phone
- (877) 580-1885
Other NPIs with the same Medicare PAC ID 1
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150625000081 | MI | Part B Supplier - Clinic/Group Practice | 4587724364 | Practice locations: Troy, MI |
National Provider Directory
Locations
511 Fort St
#210B
Port Huron, MI 48060
Phone (877) 580-1885
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician |
207RH0002X | Yes | ||
| Hematology & Oncology Physician |
207RH0003X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
33259 Dequindre Rd
Suite C
Troy, MI 48083-4628
Mailing address
33259 Dequindre Rd
Suite C
Troy, MI 48083-4628
Other providers in Troy, MI
- Prem Khilanani MD PC
- Premier Cardiovascular Consultants PC
- Premier Home Care Solution Co
- Premier Home Health Solutions Inc
- Premier Hospice, LLC
- Premier Private Physicians, PLC
- Premise Health of Michigan Medical PC
- Margarita G Presas
- Prescribed Therapy LLC
- Julie L Price
All providers in Troy, MI · Hospice and Palliative Medicine (Internal Medicine) Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2015. 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.