Provider Demographics
NPI:1821763988
Name:ADVANCED HOSPICE CARE LLC
Entity Type:Organization
Organization Name:ADVANCED HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FNU
Authorized Official - Middle Name:
Authorized Official - Last Name:ATTA UR REHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-890-1455
Mailing Address - Street 1:4705 TOWNE CENTRE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-2820
Mailing Address - Country:US
Mailing Address - Phone:989-341-1978
Mailing Address - Fax:989-341-1706
Practice Address - Street 1:4705 TOWNE CENTRE RD STE 1
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2820
Practice Address - Country:US
Practice Address - Phone:989-341-1978
Practice Address - Fax:989-341-1706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based