BEACON HEALTH VENTURES MICHIGAN, INC. (NPI# 1578619078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578619078 |
| Entity Type | Organization |
| Organization Name | BEACON HEALTH VENTURES MICHIGAN, INC. |
| Practice Address |
69045 M-62 Suite A-1 Edwardsburg MI 49112 |
| Mailing Address |
3355 Douglas Road South Bend IN 46635 |
| Practice Telephone | 2696632201 |
| Practice Fax Number | 2696632209 |
| Mailing Telephone | 5746478731 |
| Mailing Fax Number | 5746478768 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2018-02-16 |
| Authorized Official Name | SANDRA L SMIGIELSKI (MANAGER) |
| Authorized Official Telephone | 5746478731 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1578619078 | 05 |
| Street Address |
69045 M-62 SUITE A-1 |
| City | EDWARDSBURG |
| State | MI |
| Zip Code | 49112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801068226 | Jonathan Carl Harroff | Dentist | 69171 E Elkhart Rd, Edwardsburg, MI 49112 | 2008-03-26 |
| 1023231099 | Lindsey Danielle Lira | Family Medicine | 27082 Main St, Edwardsburg, MI 49112 | 2007-04-10 |
| 1699898007 | Catherine Ann Bazata | Occupational Therapist | 26875 Church St., Edwardsburg, MI 49112-0367 | 2007-04-09 |
| 1447851183 | Cynthia Jean Werner | Registered Nurse | 70067 Beach Dr, Edwardsburg, MI 49112-8434 | 2020-11-07 |
| 1801831375 | Ontwa Jefferson Mason Milton Calvin Tnshps & Village of Edwardsburg | Ambulance | 26273 E Shore Dr, Edwardsburg, MI 49112-8453 | 2006-06-18 |
| 1164030243 | April Christine Chew | Nurse Practitioner | 71491 Adamsville Rd, Edwardsburg, MI 49112-8720 | 2020-07-15 |
| 1851789234 | Lg's Whispering Pines | Custodial Care Facility | 69350 Christiana Creek Dr, Edwardsburg, MI 49112-8731 | 2015-01-07 |
| 1790057198 | Joshua Rodgers Jones | Chiropractor | 69821 M 62, Ste 12, Edwardsburg, MI 49112-8807 | 2012-01-31 |
| 1235384041 | Clear Choice Chiropractic of Edwardsburg, P.C. | Massage Therapist | 69821 M 62 Ste 12, Edwardsburg, MI 49112-8807 | 2008-11-20 |
| 1871852939 | Southwest Vision Center Inc. | Optometrist | 69001 M 62, Suite E, Edwardsburg, MI 49112-9131 | 2012-05-10 |
| Find all providers in zip 49112 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902382385 | Glc Home Health Swmi LLC | Home Health | 69045 M 62 # A-1, Edwardsburg, MI 49112-9150 | 2018-07-18 |
| 1447522768 | Regional Home Care of Michigan Inc | Home Health | 69045 M 62 Ste E, Edwardsburg, MI 49112-9152 | 2012-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104867 | Domestic Life Services LLC | Home Health | 11662 Heyden St, Detroit, MI 48228-1047 | 2020-11-05 |
| 1063013407 | Rosemary's Helping Hands | Home Health | 241 La Grange Ave, Battle Creek, MI 49014-5873 | 2020-11-03 |
| 1174124713 | Noble Home Health Care LLC | Home Health | 451 Hague St, Detroit, MI 48202-2122 | 2020-11-02 |
| 1396345294 | Nbmc Compassionate Care Managed Services (ccms), LLC | Home Health | 705 S 11th St, Saginaw, MI 48601-2104 | 2020-10-29 |
| 1528668811 | Safe Haven Home Health Care L.l.c | Home Health | 3311 Hoover St, Kalamazoo, MI 49008-2693 | 2020-10-27 |
| 1437758059 | Luxury Home Care LLC | Home Health | 6015 Lake Dr Lot 106, Ypsilanti, MI 48197-7016 | 2020-10-23 |
| 1437758463 | D & D Non-medical Home Care Agency LLC | Home Health | 1317 Hotop Ave, Kalamazoo, MI 49048-1824 | 2020-10-21 |
| 1386243376 | Halstead Nursing Services LLC | Home Health | 518 Westbrook, Whitmore Lake, MI 48189-8212 | 2020-10-20 |
| 1477152700 | Caring Hands Home Health and Hospice | Home Health | 1901 W Hobson Ave, Flint, MI 48504-7042 | 2020-10-19 |
| 1700484474 | Katrisha D Thomas | Home Health | 31158 Woodland St Apt 17108, Wixom, MI 48393-2690 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | EDWARDSBURG |
| Zip Code | 49112 |
Please comment or provide details below to improve the information on BEACON HEALTH VENTURES MICHIGAN, INC..
| 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.