ST JOHNS HEALTH CARE PC (NPI# 1700916335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700916335 |
| Entity Type | Organization |
| Organization Name | ST JOHNS HEALTH CARE PC |
| Practice Address |
609 N Washington Ave Ludington MI 49431-1503 |
| Practice Telephone | 2318457922 |
| Practice Fax Number | 2318438491 |
| Mailing Telephone | 2318457922 |
| Mailing Fax Number | 2318438491 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2010-04-28 |
| Authorized Official Name | LISA LYNN THOMPSON (GENERAL MANAGER) |
| Authorized Official Telephone | 2318457922 |
| Authorized Official Credential | RN |
| 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 | 154625029 | 05 |
| Street Address |
609 N WASHINGTON AVE |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
| 1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
| 1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
| 1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
| 1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
| 1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
| 1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
| 1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
| 1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
| 1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
| Find all providers in zip 49431 | ||||
| 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 |
|---|---|---|---|---|
| 1255963773 | Holly Mae Flanery | Home Health | 204 2nd St Apt 1, Ludington, MI 49431-2511 | 2020-02-12 |
| 1689650160 | Memorial Medical Center of West Michigan | Home Health | 1n Atkinson Dr, Ludington, MI 49431-1906 | 2005-12-16 |
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|---|---|---|---|---|
| 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 | ||||
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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.