PORTAGE HEALTH HOME SERVICES, INC. (NPI# 1245453786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245453786 |
| Entity Type | Organization |
| Organization Name | PORTAGE HEALTH HOME SERVICES, INC. |
| Practice Address |
200 Michigan St Ste 328 Hancock MI 49930-1448 |
| Practice Telephone | 9064831170 |
| Practice Fax Number | 9064877487 |
| Mailing Telephone | 9064831170 |
| Mailing Fax Number | 9064877487 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2019-06-18 |
| Authorized Official Name | MR. JAMES BOGAN (BOARD PRESIDENT) |
| Authorized Official Telephone | 9064831170 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
| Y | 251J00000X | Nursing Care | Agencies |
| Street Address |
200 MICHIGAN ST STE 328 |
| City | HANCOCK |
| State | MI |
| Zip Code | 49930-1448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437627643 | Karen Byrnes | Registered Nurse | Hancock Va Cboc, 787 Market St. Suite 9, Hancock, MI 49930 | 2018-11-06 |
| 1881117562 | Angelica Monique Nunez | Specialist/Technologist | 601 Quincy St, Hancock, MI 49930 | 2017-07-25 |
| 1831581164 | Superior Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 20075 Third Street, Hancock, MI 49930 | 2015-02-24 |
| 1861703258 | Superior Smiles | Dentist | 1550 West Quincy St, Hancock, MI 49930 | 2010-06-30 |
| 1164633780 | Kathryn Mary Salmi | Counselor | 100 Quincy Street, Hancock, MI 49930 | 2007-05-25 |
| 1093828535 | Mary Katherine Van Camp | Social Worker | 787 Market St., Suites 9 & 10, Hancock, MI 49930 | 2006-08-17 |
| 1083627392 | Kim Kathleen Green | Social Worker | 787 Market Street, Hancock, MI 49930 | 2006-08-15 |
| 1346257672 | James William Sarazin | Dentist | 528 Quincy Street, Hancock, MI 49930 | 2006-08-01 |
| 1114951829 | Patricia J Tikkanen | Social Worker | 200 Michigan St Ste 321, Hancock, MI 49930 | 2006-07-10 |
| 1487639829 | Thomas Collins | Social Worker | 920 Water Street, Hancock, MI 49930 | 2005-12-08 |
| Find all providers in zip 49930 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848934 | Beneficent Wellness L.l.c | Nursing Care | 18918 Hampshire St, Lathrup Village, MI 48076-4412 | 2020-10-15 |
| 1922616192 | Serendipity Private Duty & Respite Home Health Care, LLC | Nursing Care | 30997 Pendleton Apt 241, New Hudson, MI 48165-9459 | 2020-07-14 |
| 1770108896 | Building New Pathways Home Health Care LLC | Nursing Care | 4461 S Sheldon Rd, Canton, MI 48188-2522 | 2020-06-15 |
| 1740801653 | Sharon M Bradley | Nursing Care | 324 N Detroit St, Buchanan, MI 49107-1204 | 2020-05-01 |
| 1982234217 | Vital Care Services LLC | Nursing Care | 46066 Royal Dr, Chesterfield, MI 48051-3250 | 2020-01-26 |
| 1700428455 | Perceptive Care, Inc. | Nursing Care | 1015 28th St Se, Grand Rapids, MI 49508-1309 | 2019-10-15 |
| 1043863707 | Eleanor Parnell | Nursing Care | 4229 Humboldt St, Detroit, MI 48208-2520 | 2019-07-22 |
| 1073173027 | No Place Like Home Health LLC | Nursing Care | 16801 Newburgh Rd Ste 101, Livonia, MI 48154-1606 | 2019-06-20 |
| 1093277873 | Kathleen Mary Vollman | Nursing Care | 21091 Boulder Cir, Northville, MI 48167 | 2019-04-02 |
| 1700343878 | Nikhil Mehrotra | Nursing Care | 36528 Grand River Ave Ste A-3, Farmington Hills, MI 48335-3016 | 2019-02-26 |
| Find all providers with the same taxonomy | ||||
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| 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.