- Enrollment id
- O20220719002364
- Enrollment state
- MI
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1316693757
- Multiple npi flag
- N
- Ccn
- 231701
- Associate id
- 0345621512
- Organization name
- INHOUSE HOSPICE, LLC
- Incorporation date
- 2021-09-13
- Incorporation state
- MI
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 30800 TELEGRAPH RD
- Address line 2
- STE 1975
- City
- BINGHAM FARMS
- State
- MI
- Zip code
- 480254572