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
716 GERMAN ST, TAWAS CITY, MI 48763-9349
(989) 362-4611
(989) 362-8771
Mailing address
5445 ALI DR., DEPARTMENT 800, GRAND BLANC, MI 48439-5195
(888) 246-6322
(810) 762-4110
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
353512
MI
251G00000X
Community Based Hospice Care Agency
Primary
—
MI
251G00000X
Community Based Hospice Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08737
BC BS HOSPICE PROVIDER
MI
01
—
381443395023
TRICARE HOSPICE PROVIDER
MI
Enumeration date
03/26/2007
Last updated
07/29/2019
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