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RESIDENTIAL PALLIATIVE CARE
NPI 1528773132
Nurse Practitioner - Adult Health in Maumee, OH

Active since January 18, 2023CLIA 36D2064827 · Waiver
1745 INDIAN WOOD CIR STE 252, MAUMEE, OH 43537(567) 218-2075(855) 618-6655 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 9, 2023, Jan 18, 2023 (2 updates tracked since 2023).

About Residential Palliative Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESIDENTIAL PALLIATIVE CARE (NPI 1528773132) is a healthcare organization registered as an adult health in Maumee, Ohio and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through November 29, 2027 and lists Justin Dewitte, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528773132
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameRESIDENTIAL HOSPICE, LLC
Location Address1745 INDIAN WOOD CIR STE 252Maumee, OH 43537-4168
Mailing Address5440 Corporate Dr Ste 400Troy, MI 48098-2645 · (866) 902-4000 · Fax (866) 903-4000
Phone(567) 218-2075
Fax(855) 618-6655
Organization SubpartNo
Authorized OfficialJustin DewitteCeo · (866) 902-4000
Enumeration DateJanuary 18, 2023
Last NPPES UpdateNovember 9, 20232 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1528773132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
1745 INDIAN WOOD CIR STE 252, Maumee, OH 43537
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Other Names 1

Doing Business AsResidential Palliative Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2064827

Residential Hospice Of NW Oh · Maumee, OH
Active · expires Nov 29, 2027
CLIA Number36D2064827
Laboratory TypeHospice
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorWendy Bongero
Laboratory Phone(567) 218-2075
Laboratory LocationResidential Hospice Of NW Oh1745 Indian Wood Circle, Ste 252, Maumee, OH 43537
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SENIOR CARE PHYSICIANS, INC.
Family Medicine (Geriatric Medicine)
1745 INDIAN WOOD CIR STE 252
MAUMEE, OH 43537
Lucas County (419) 491-4395
SCOTT PETERS OT
Occupational Therapist
1745 INDIAN WOOD CIR STE 252
MAUMEE, OH 43537
Lucas County (419) 867-2002
RESIDENTIAL HOSPICE, LLC
Hospice Care, Community Based
1745 INDIAN WOOD CIR STE 252
MAUMEE, OH 43537
Lucas County (567) 218-2075
RESIDENTIAL HOME HEALTH OF NW OH, LLC
Home Health
1745 INDIAN WOOD CIR STE 252
MAUMEE, OH 43537
Lucas County (567) 702-6650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Residential Hospice, LLC's NPI number?

The NPI number for Residential Hospice, LLC is 1528773132. It was assigned to this organization in the NPPES registry on January 18, 2023. The provider is doing business as Residential Palliative Care.

Where is Residential Hospice, LLC located?

Residential Hospice, LLC is located at 1745 Indian Wood Cir Ste 252, Maumee, OH 43537. The listed phone number is (567) 218-2075.

What is Residential Hospice, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Does Residential Hospice, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2064827) is associated with this NPI, valid through November 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Residential Hospice, LLC was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.