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REVERENCE HOME HEALTH AND HOSPICE LLC
DSH230165 Ascension St. John Hospital DBA Henry Ford St. John Hospital
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Covered Entity Details
Entity Name
Ascension St. John Hospital DBA Henry Ford St. John Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230165
Entity Address
22101 MOROSS ROAD
DETROIT, MI 48236
Medicare Provider Number
230165
Participating Start Date
4/1/2006
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
REVERENCE HOME HEALTH AND HOSPICE LLC
Pharmacy Address
DBA COMPASSUS
28120 DEQUINDRE RD
WARREN, MI 48092
Pharmacy Comments
Contract Details
Approval Date
4/17/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Douglas Winner, CFO, Acute Care Operations
(586) 753-0662
Contract Pharmacy Representative
COMPASSUS
KRISTEN FANO-SCHULTZE, VICE PRESIDENT OF HOME INFUSION
(803) 391-0674
Signed By Date
4/17/2023
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