Organization
REVERENCE HOME HEALTH & HOSPICE, LLC
Active
Other names
Compassus
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL ADKINS (SVP CHIEF LEGAL OFFICER)
(615) 926-0340
Entity
Organization
Contact information
Practice address
28120 DEQUINDRE RD, WARREN, MI 48092-5603
(586) 913-0333
(888) 474-3112
Mailing address
10 CADILLAC DR STE 400, BRENTWOOD, TN 37027-1001
(615) 377-7022
(615) 373-4457
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
5301006796
MI
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
5301006796
MI
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3481597
—
MI
01
—
470E00017
BLUE CROSS HIT
MI
05
—
50-3481588
—
MI
05
—
87-3481597
—
MI
Enumeration date
06/13/2006
Last updated
11/25/2024
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