Organization
REVERENCE HOME HEALTH & HOSPICE, LLC
Active
Other names
Ascension at Home
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN SCOTT (VP REVENUE CYCLE)
(408) 658-2768
Entity
Organization
Contact information
Practice address
5220 LOVERS LN STE 140, PORTAGE, MI 49002-1528
(888) 246-6322
(810) 762-4110
Mailing address
5220 LOVERS LN STE 140, PORTAGE, MI 49002-1528
(888) 246-6322
(810) 762-4110
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
MI
251G00000X
Community Based Hospice Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
393520
MICHIGAN HOSPICE LICENSE
MI
01
—
7230027
PHP HOSPICE
MI
01
—
O8731
BCBS HOSPICE
MI
Enumeration date
06/14/2006
Last updated
07/29/2019
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