Organization
HOSPICE OF JACKSON
Active
Other names
Henry Ford Allegiance Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN DAMSCHRODER (CFO)
(313) 876-8452
Entity
Organization
Contact information
Practice address
205 N EAST AVE, ONE JACKSON SQUARE, SUITE 400, JACKSON, MI 49201-1753
(517) 841-6982
(517) 841-6987
Mailing address
205 N EAST AVE, ONE JACKSON SQUARE, SUITE 400, JACKSON, MI 49201-1753
(517) 841-6982
(517) 841-6987
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
383510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0078
HEALTH PLAN OF MICHIGAN
MI
01
—
08712
BLUE CROSS OF MICHIGAN
MI
05
—
1825474-16
—
MI
01
—
50-20015
PHYSICIAN'S HEALTH PLAN
MI
01
—
500458
CARE CHOICE
MI
01
—
70031199
ACS
MI
01
—
HS380001
MCARE
MI
Enumeration date
10/06/2006
Last updated
08/08/2025
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