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
28120 DEQUINDRE RD, WARREN, MI 48092-5603
(888) 246-6322
(810) 762-4110
Mailing address
28120 DEQUINDRE RD, WARREN, MI 48092-5603
(888) 246-6322
(810) 762-4110
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
MI
251G00000X
Community Based Hospice Care Agency
503521
MI
251G00000X
Community Based Hospice Care Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08786
BLUE CROSS
MI
Enumeration date
06/13/2006
Last updated
01/16/2020
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