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
5445 ALI DR., DEPARTMENT 800, GRAND BLANC, MI 48439-5195
(888) 246-6322
(810) 762-4110
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
254028
MI
251G00000X
Community Based Hospice Care Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08711
BCBSM
—
01
—
0E04600M
HPL
—
01
—
38217768
PRIVATE INSURANCES
MI
01
—
382177968
PPOM (HSP)
MI
01
—
HH250001
MCARE
—
Enumeration date
01/24/2007
Last updated
07/29/2019
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