Custom Hospice, LLC
NPI 1306480538ActiveOrganization· Nurse Practitioner, Adult Health· Troy, MI
Nurse Practitioner, Adult Health in Troy, Michigan, registered in NPPES in October 2019. The authorized official on file is Sean Fossee, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1306480538 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2019 |
| Last updated in NPPES | Mar 18, 2021 |
| Certified by provider | Mar 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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