RESIDENTIAL HOSPICE, LLC (NPI# 1750836664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750836664 |
| Entity Type | Organization |
| Organization Name | RESIDENTIAL HOSPICE, LLC |
| Other Organization Name | RESIDENTIAL PALLIATIVE CARE |
| Practice Address |
5440 Corporate Dr Suite 400 Troy MI 48098-2646 |
| Practice Telephone | 8669025854 |
| Practice Fax Number | 8669034000 |
| Mailing Telephone | 8669025854 |
| Mailing Fax Number | 8669034000 |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2019-02-26 |
| Authorized Official Name | MR. JUSTIN DEWITTE (PRESIDENT) |
| Authorized Official Telephone | 2482838839 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Residential Palliative Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689904591 | Residential Hospice, LLC | Hospice Care, Community Based | 5440 Corporate Dr, Suite 400, Troy, MI 48098-2646 | 2009-12-29 |
| Street Address |
5440 CORPORATE DR SUITE 400 |
| City | TROY |
| State | MI |
| Zip Code | 48098-2646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992768550 | Residential Home Health, LLC | Home Health | 5440 Corporate Dr, Suite 400, Troy, MI 48098-2646 | 2006-04-06 |
| 1003369307 | Melissa Baker | Nurse Practitioner | 5440 Corporate Dr, Troy, MI 48098-2646 | 2016-08-03 |
| 1578975744 | Residential Hospice Illinois, LLC | Hospice Care, Community Based | 5440 Corporate Dr, Suite 400, Troy, MI 48098-2646 | 2014-05-22 |
| 1689904591 | Residential Hospice, LLC | Hospice Care, Community Based | 5440 Corporate Dr, Suite 400, Troy, MI 48098-2646 | 2009-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053949289 | Douglas Ross | Physical Therapy Assistant | 4062 Livernois Rd, Troy, MI 48098 | 2020-04-01 |
| 1104382837 | Minxes Inc | Chiropractor | 1175 W. Long Lake Rd, Suite 100, Troy, MI 48098 | 2019-02-19 |
| 1689160053 | Nyssa J Swanson | Physical Therapist | 5440 Corporate Dr Ste 400, Troy, MI 48098 | 2018-07-09 |
| 1447742580 | Rebecca Jane Stros | Counselor | 900 Tower Dr, Troy, MI 48098 | 2018-06-05 |
| 1356863278 | Brigette Johnson | Occupational Therapist | 4794 Riverchase Dr, Troy, MI 48098 | 2017-07-12 |
| 1912448382 | Devyn Depeter | Technician/Technologist | 5877 Livernois Rd Ste 104, Troy, MI 48098 | 2017-03-17 |
| 1285025015 | Rochester Knee & Sports Medicine PC | Durable Medical Equipment & Medical Supplies | 4600 Investment Dr Ste 120, Troy, MI 48098 | 2015-02-16 |
| 1649690231 | Tammy Beesley-schick | Registered Nurse | 4568 Odette Ct, Troy, MI 48098 | 2014-04-22 |
| 1306269584 | Medi-care | Ambulance | 5741 Faircastle, Troy, MI 48098 | 2014-01-24 |
| 1881953644 | Diane Marie Bald | Social Worker | 1707 White Birch Ct, Troy, MI 48098 | 2012-05-14 |
| Find all providers in zip 48098 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782067 | Jamie Lynn Kosalsky | Nurse Practitioner | 1385 Cadmus Dr, Troy, MI 48085-1218 | 2020-02-21 |
| 1770981037 | Aimee Dennis | Nurse Practitioner | 880 W Long Lake Rd # 600, Troy, MI 48098-4504 | 2014-12-18 |
| 1033549381 | Jodie Eickhoff | Nurse Practitioner | 6535 Rochester Rd Ste 2, Troy, MI 48085-1362 | 2013-11-24 |
| 1912337551 | Grace Wang | Nurse Practitioner | 2883 Creek Bend Dr, Troy, MI 48098-2381 | 2013-11-18 |
| 1023326881 | Bernadette Sarah Below | Nurse Practitioner | 2095 E Big Beaver Rd Ste 375, Troy, MI 48083-2374 | 2010-09-15 |
| 1841516432 | Lynne Longtin | Nurse Practitioner | 74 Ferry St, Troy, NY 12180 | 2010-04-08 |
| 1942525522 | Joann Barhorst | Nurse Practitioner | 1300 N County Road 25a, Troy, OH 45373-1359 | 2010-04-07 |
| 1982898326 | Cassandra L Lutes | Nurse Practitioner | 215 Highway Aa, Troy, MO 63379 | 2007-08-29 |
| 1467490870 | Jessica Elizabeth Niehoff | Nurse Practitioner | 104 Sarah Ann Blvd, Troy, MO 63379-2038 | 2006-06-04 |
| 1265032445 | Jenni Layne Bolton | Nurse Practitioner | 550 Summit Ave Ste 101, Troy, OH 45373-3047 | 2020-10-28 |
| Find all providers in TROY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.