CUSTOM HOSPICE, LLC (NPI# 1558613281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558613281 |
| Entity Type | Organization |
| Organization Name | CUSTOM HOSPICE, LLC |
| Other Organization Name | ADVANCED PRO HOSPICE, LLC |
| Practice Address |
928 E 11 Mile Rd Royal Oak MI 48067-1968 |
| Practice Telephone | 2485827400 |
| Practice Fax Number | 2488095824 |
| Mailing Telephone | 2485827400 |
| Mailing Fax Number | 2488095824 |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2016-04-06 |
| Authorized Official Name | CHRIS TILLOTSON (ADMINISTRATOR) |
| Authorized Official Telephone | 2487709929 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Advanced Pro Hospice, LLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306480538 | Custom Hospice, LLC | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084-4771 | 2019-10-31 |
| Street Address |
928 E 11 MILE RD |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48067-1968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1750917811 | Sonia B Shah-gonzalez | Case Management | 830 E Fourth St, #1, Royal Oak, MI 48067 | 2020-03-19 |
| 1568022960 | Woodo Pharmacy LLC | Pharmacy | 909 E 11 Mile Rd, Royal Oak, MI 48067 | 2019-06-18 |
| 1093217564 | Sharon Diane Malinowski | Occupational Therapist | 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 | 2018-03-01 |
| 1962916569 | Nuch of Michigan Inc | Clinic/Center | 2140 E 12 Mile Rd, Royal Oak, MI 48067 | 2017-11-20 |
| 1629420179 | Christine Paige | Homeopath | 1112 Catalpa, Royal Oak, MI 48067 | 2016-07-08 |
| 1104277045 | Rppc Labs, LLC | Clinical Medical Laboratory | 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 | 2016-06-22 |
| 1346606423 | Thomas Michalos | Counselor | 402 S. Lafayette, Royal Oak, MI 48067 | 2016-01-05 |
| 1508234212 | Valetta Aldridge | Registered Nurse | 28000 Woodward, Royal Oak, MI 48067 | 2015-09-11 |
| Find all providers in zip 48067 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487550 | Hope Hospice and Palliative Care LLC | Hospice Care, Community Based | 27680 Franklin Rd, Southfield, MI 48034-8203 | 2020-11-06 |
| 1356958649 | Serenity Hospice Care LLC | Hospice Care, Community Based | 33620 Five Mile Rd, Livonia, MI 48154-2866 | 2020-09-30 |
| 1467067983 | Asr Hospice Care, LLC | Hospice Care, Community Based | 1509 S State Rd Ste B, Davison, MI 48423-1966 | 2020-09-11 |
| 1578176038 | Intelicare Hospice Services IIi, LLC | Hospice Care, Community Based | 6060 Torrey Rd Ste J, Flint, MI 48507-5963 | 2020-08-25 |
| 1851909741 | Trillium House, Inc. | Hospice Care, Community Based | 1144 Northland Dr, Marquette, MI 49855-4408 | 2020-07-17 |
| 1568086056 | John Paul Home Hospice LLC | Hospice Care, Community Based | 30800 Telegraph Rd Ste 3700, Bingham Farms, MI 48025-4583 | 2020-06-01 |
| 1992331128 | Careline Health Group - Mi LLC | Hospice Care, Community Based | 113 W Michigan Ave Ste 1024th, Jackson, MI 49201-1340 | 2020-03-19 |
| 1659906220 | Optimal Care, Inc. | Hospice Care, Community Based | 30600 Telegraph Rd Ste 3275, Bingham Farms, MI 48025-5718 | 2020-03-04 |
| 1881234862 | Hope Hospice LLC | Hospice Care, Community Based | 26645 W 12 Mile Rd Ste 211, Southfield, MI 48034-7812 | 2020-01-08 |
| 1124665088 | Hospice of Compassion, Inc | Hospice Care, Community Based | 23300 Greenfield Rd Ste 206, Oak Park, MI 48237-8409 | 2019-12-10 |
| Find all providers with the same taxonomy | ||||
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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.