Provider Demographics
NPI:1841575891
Name:HAZY MINDFUL CARE GIVING AGENCY INC
Entity Type:Organization
Organization Name:HAZY MINDFUL CARE GIVING AGENCY INC
Other - Org Name:HAZI HOSPICE CARE, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHINYERE
Authorized Official - Middle Name:
Authorized Official - Last Name:SORONNADI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-850-7110
Mailing Address - Street 1:21700 GREENFIELD
Mailing Address - Street 2:STE 264
Mailing Address - City:OAKPARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237
Mailing Address - Country:US
Mailing Address - Phone:248-850-7110
Mailing Address - Fax:
Practice Address - Street 1:21700 GREENFIELD
Practice Address - Street 2:STE 264
Practice Address - City:OAKPARK
Practice Address - State:MI
Practice Address - Zip Code:48237
Practice Address - Country:US
Practice Address - Phone:248-850-7110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-20
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based