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
1000 HEALTH PARK BLVD, SUITE A, GRAND BLANC, MI 48439-7324
(810) 344-8383
(855) 348-3351
Mailing address
10 CADILLAC DR STE 400, BRENTWOOD, TN 37027-1001
(615) 377-7022
(615) 373-4457
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
5301009994
MI
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139355
PK
—
Enumeration date
11/01/2012
Last updated
02/08/2021
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