Residential Hospice, LLC
NPI 1528773132ActiveOrganization· Nurse Practitioner, Adult Health· Maumee, OH
Nurse Practitioner, Adult Health in Maumee, Ohio, registered in NPPES in January 2023. The authorized official on file is Justin Dewitte, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528773132 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2023 |
| Last updated in NPPES | Nov 9, 2023 |
| Certified by provider | Nov 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OH) |
|---|
Other adult health nurse practitioners in Maumee
- 1659641223
- 1922084425
- 1144922394