Provider Demographics
NPI:1811283062
Name:BELOVED HOSPICE CARE, LLC
Entity type:Organization
Organization Name:BELOVED HOSPICE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ENREST
Authorized Official - Middle Name:U
Authorized Official - Last Name:BARNABAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-550-3615
Mailing Address - Street 1:24634 5 MILE RD
Mailing Address - Street 2:SUITE 35
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-3631
Mailing Address - Country:US
Mailing Address - Phone:313-550-3615
Mailing Address - Fax:313-945-5815
Practice Address - Street 1:24634 5 MILE RD
Practice Address - Street 2:SUITE 35
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3631
Practice Address - Country:US
Practice Address - Phone:313-550-3615
Practice Address - Fax:313-945-5815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-27
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based