Organization
REVERENCE HOME HEALTH & HOSPICE, LLC
Active
Other names
Ascension at Home
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL ADKINS (SVP CHIEF LEGAL OFFICER)
(615) 309-5668
Entity
Organization
Contact information
Practice address
28120 DEQUINDRE RD, WARREN, MI 48092-5603
(888) 246-6322
(810) 762-4110
Mailing address
10 CADILLAC DR STE 400, BRENTWOOD, TN 37027-1001
(615) 373-7022
(615) 373-4457
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OE105
BLUE CROSS
MI
Enumeration date
06/01/2006
Last updated
02/08/2021
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