Organization
ANGELA HOSPICE HOME CARE, INC.
Active
Other names
Angela Hospice Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
SISTER MARY GIOVANNI RN, MSA (PRESIDENT/CEO)
(734) 953-6046
Entity
Organization
Contact information
Practice address
14100 NEWBURGH RD, LIVONIA, MI 48154-5010
(734) 464-7810
(734) 779-4601
Mailing address
14100 NEWBURGH RD, LIVONIA, MI 48154-5010
(734) 464-7810
(734) 779-4601
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
823514
MI
315D00000X
Inpatient Hospice
824025
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08717
BCBS OF MICHIGAN
MI
05
—
2587662
—
MI
01
—
OP22020
MEDICARE PART B
MI
Enumeration date
06/01/2005
Last updated
11/05/2008
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