Provider Demographics
NPI:1477218519
Name:PRIME HOSPICE LLC
Entity Type:Organization
Organization Name:PRIME HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NAVEED
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHRAF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-591-4400
Mailing Address - Street 1:28091 DEQUINDRE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-3047
Mailing Address - Country:US
Mailing Address - Phone:248-591-4400
Mailing Address - Fax:
Practice Address - Street 1:28091 DEQUINDRE RD STE 200
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-3047
Practice Address - Country:US
Practice Address - Phone:248-591-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-03
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based