Hospice of Southeastern Michigan – Community Based Hospice Care Agency, NPI 1689616054
Community Based Hospice Care Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Hospice of Southeastern Michigan
400 GALLERIA OFFICENTRE STE 400
SOUTHFIELD, MI 480342162
Phone: (248) 353-2070
Type: Mailing
39531 Garfield Rd
Clinton Twp, MI 480384300
Phone: (586) 263-8854
Type: Location
3200 Greenfield Rd Ste 250
Dearborn, MI 481201800
Phone: (989) 358-4280
Type: Location
43097 Woodward Ave Ste 102
Bloomfield Hills, MI 483025042
Phone: (248) 353-2070
Type: Location
Woodward Avenue, Bloomfield Hills, Oakland County, Michigan, 48304, United States
BLOOMFIELD HILLS, MI 483025042
Phone: (248) 353-2070
Type: Location
2366 OAK VALLEY DR
ANN ARBOR, MI 481038944
Phone: (248) 353-2070
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20050411000211 | O | Hospice | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48034)
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