CULLODEH LLC (NPI# 1265824304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265824304 |
| Entity Type | Organization |
| Organization Name | CULLODEH LLC |
| Other Organization Name | LANSING COMFORCARE |
| Practice Address |
405 West Greenlawn Ave Lansing MI 48910 |
| Practice Telephone | 5172530438 |
| Practice Fax Number | 5175804224 |
| Mailing Telephone | 5172530438 |
| Mailing Fax Number | 5175804224 |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |
| Authorized Official Name | DR. KENNETH ROBERT MITKIN (PRESIDENT) |
| Authorized Official Telephone | 2404471318 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CULLODEH LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Lansing Comforcare | Doing Business As Name - Organization |
| Street Address |
405 WEST GREENLAWN AVE |
| City | LANSING |
| State | MI |
| Zip Code | 48910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604562 | Wendy Lynne Hughes | Licensed Practical Nurse | 2025 S Washington Ave Suite 210 Lansing, Mi 48910, Lansing, MI 48910 | 2020-09-18 |
| 1073146908 | James Laroach | Peer Specialist | 913 W. Homes Suite 200, Lansing, MI 48910 | 2020-02-19 |
| 1487284279 | Kourtia Nicole Munson | Counselor | 2025 S Washighton Ave, Suite 210, Lansing, MI 48910 | 2020-01-21 |
| 1699248112 | Cedar Pharmacy LLC | Pharmacy | 2513 S Cedar St., Lansing, MI 48910 | 2019-01-08 |
| 1134604390 | Kazuho Kondo | Student in an Organized Health Care Education/Training Program | 3338 Beau Jardin Dr., 0812, Lansing, MI 48910 | 2018-10-03 |
| 1477036655 | Dalia Elgohary | Pharmacist | 5016 S Martin Luther King, Lansing, MI 48910 | 2018-09-13 |
| 1457856940 | Derrick Lynn Byrd | Social Worker | 4305 S. Cedar St., Lansing, MI 48910 | 2018-03-27 |
| 1326564964 | Lansing Health Supplies | Durable Medical Equipment & Medical Supplies | 3105 S Martin Luther King Blvd #320, Lansing, MI 48910 | 2017-08-15 |
| 1265957203 | Heather E Dover | Dietitian, Registered | 2510 Solomon Dr, Lansing, MI 48910 | 2017-08-10 |
| 1407307705 | Elise Evans | Occupational Therapist | 2331 East Jolly Rd, Suite B, Lansing, MI 48910 | 2016-10-21 |
| Find all providers in zip 48910 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991699 | Cacck Enterprise Inc | In Home Supportive Care | 15851 S Us 27 Ste 314, Lansing, MI 48906-1987 | 2020-10-30 |
| 1982249207 | G&o Enterprise | In Home Supportive Care | 5455 S Martin Luther King Jr Blvd, Lansing, MI 48911-3544 | 2019-11-11 |
| 1053824664 | Heart Home Care | In Home Supportive Care | 107 Richard Ave, Lansing, MI 48917-3433 | 2017-11-06 |
| 1013429984 | Gentle Touch Healthcare Services | In Home Supportive Care | 18236 Ridgewood, Lansing, IL 60438 | 2017-10-31 |
| 1962827600 | Abc Home Health Care Services LLC | In Home Supportive Care | 633 E Jolly Rd, 3a, Lansing, MI 48910-6803 | 2014-03-04 |
| 1801173661 | Rehab Without Walls, Inc. | In Home Supportive Care | 6105 W St Joe Hwy, Suite 211, Lansing, MI 48917-4870 | 2011-11-08 |
| 1306136890 | Optimal Staffing Solutions Inc. | In Home Supportive Care | 15945 Wood Rd, Lansing, MI 48906-1746 | 2011-04-18 |
| 1750846440 | Handicapper Advocacy Alliance Inc | In Home Supportive Care | 901 E Mount Hope Ave, Lansing, MI 48910-3207 | 2019-02-06 |
| 1801255047 | National Home Care Service LLC | In Home Supportive Care | 6920 S Cedar St, Suite 1, Lansing, MI 48911-6924 | 2016-02-16 |
| 1023426152 | Inspire Care LLC | In Home Supportive Care | 408 Kalamazoo Plz, Lansing, MI 48933-1919 | 2014-08-01 |
| Find all providers in LANSING | ||||
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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.