CYCLE OF LIFE SUPPORT COMMUNITY HEALTH SERVICES LLC


Address: 1520 E Ganson St, Jackson, MI 49202-3530
Phone: 6162758930

CYCLE OF LIFE SUPPORT COMMUNITY HEALTH SERVICES LLC (NPI# 1023645884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023645884
Entity Type Organization
Organization Name CYCLE OF LIFE SUPPORT COMMUNITY HEALTH SERVICES LLC
Other Organization Name CYCLE OF LIFE SUPPORT CHS
Practice Address 1520 E Ganson St
Jackson
MI 49202-3530
Mailing Address 717 Prince St Se
Grand Rapids
MI 49507-1241
Practice Telephone 6162758930
Practice Fax Number 6166083693
Mailing Telephone 7204413141
Mailing Fax Number 6166083693
Enumeration Date 2020-03-23
Last Update Date 2020-03-24
Authorized Official Name THERESA WILLIAMS (OPERATIONS MANAGER)
Authorized Official Telephone 7204413141
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 104100000X Social Worker Behavioral Health & Social Service Providers
N 163W00000X Registered Nurse Nursing Service Providers
N 251B00000X Case Management Agencies
N 251F00000X Home Infusion Agencies
N 251G00000X Hospice Care, Community Based Agencies
N 251J00000X Nursing Care Agencies
N 251S00000X Community/Behavioral Health Agencies
N 253Z00000X In Home Supportive Care Agencies
N 374U00000X Home Health Aide Nursing Service Related Providers
Y 251E00000X Home Health Agencies

Other Provider/Organization Names

Other Name Type Code
Cycle of Life Support CHS Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Cycle of Life Support Community Health Services LLC. 8700 E Jefferson Ave 371728, Denver, CO 80237

Office Location

Street Address 1520 E GANSON ST
City JACKSON
State MI
Zip Code 49202-3530

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821590316 Leslie Dominique Barroso Social Worker 834 Kennedy St, Jackson, MI 49202 2018-03-01
1073011136 Nicole Szarek Social Worker 1200 N. West Ave, Jackson, MI 49202 2018-01-24
1598299430 Cedric Griffin Behavior Technician 950 W. Monroe St, Jackson, MI 49202 2017-04-18
1285081612 Patricia Decker Psychologist 950 West Monroe, Suite 500, Jackson, MI 49202 2016-05-16
1619344314 Erica Ries Social Worker 1200 N West Ave Ste 800, Jackson, MI 49202 2015-08-28
1184007189 Sarah Johnson Behavioral Analyst 818 Winifred St, Jackson, MI 49202 2015-07-08
1871971697 Scott A Watterson Dds, Pllc Dentist 1030 Laurence Ave, Suite 3, Jackson, MI 49202 2015-05-13
1043608680 Brenda Beverly Counselor 1190 West, 1190 West Suite 812, Jackson, MI 49202 2015-01-06
1295091593 Natalie Ann Kember Social Worker 1206 Clinton, Jackson, MI 49202 2012-04-11
1912218728 Tina Marie Pierce Respite Care 225 N Wisner St, Jakson, MI 49202 2010-06-25
Find all providers in zip 49202

Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164029930 Just Like Family Home Care LLC Home Health 910 E Northside Dr # 910e, Jackson, MS 39206-5533 2020-10-05
1235743162 Shymeka Bolden Home Health 405 Dewitt Ave, Jackson, MS 39203 2020-09-08
1023647955 Jennifer Mcneil Home Health 5814 Clinton Blvd # 2b, Jackson, MS 39209-2807 2020-04-02
1326670977 Tyesha Smith Home Health 200 Rebel Woods Dr, Jackson, MS 39212-3009 2020-02-11
1780230185 Avis Caring Hands Home Service Home Health 1419 Cooks Ave, Jackson, MS 39212-4376 2019-08-13
1063073500 Dorothy Jean Homes Home Health 1836 First Ave, Jackson, MS 39209-6345 2019-06-25
1750941027 Rock Care Home Health, LLC Home Health 3130 E Jackson Blvd Ste B, Jackson, MO 63755-2957 2019-06-18
1417415548 Serenity Home Health Care Home Health 283 Parks Rd, Jackson, MS 39212-9604 2019-03-07
1841762192 All About You Care LLC Home Health 716 Tomlinson St, Jackson, MI 49203-2060 2018-12-27
1013489483 Sarah Gillum Home Health 1127 Greenbriar St, Jackson, MS 39211-2735 2018-12-26
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 49202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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