- Enrollment id
- O20190504000038
- Enrollment state
- MI
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1417423351
- Multiple npi flag
- N
- Ccn
- 231664
- Associate id
- 0143562504
- Organization name
- OAKLAND HOSPICE, LLC
- Doing business as name
- SVEN MEDICAL BILLING
- Incorporation date
- 2018-09-28
- Incorporation state
- MI
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 7125 ORCHARD LAKE RD
- Address line 2
- STE 222
- City
- WEST BLOOMFIELD
- State
- MI
- Zip code
- 483223616