CUSTOM CARELINK, L.L.C. (NPI# 1912279282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912279282 |
| Entity Type | Organization |
| Organization Name | CUSTOM CARELINK, L.L.C. |
| Practice Address |
2300 Portage St. Apt. 127 Kalamazoo MI 49001 |
| Mailing Address |
Po Box 3223 Kalamazoo MI 49003-3223 |
| Practice Telephone | 2693449888 |
| Mailing Telephone | 2693449888 |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |
| Authorized Official Name | LORY FISH (MEMBER) |
| Authorized Official Telephone | 2693449888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
2300 PORTAGE ST. APT. 127 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568004372 | Tiffany Malory | Counselor | 2030 Portage St., Kalamazoo, MI 49001 | 2019-10-14 |
| 1770050502 | Trevor F Eisaman | Chiropractor | 1324 S Park St Suite #3, Kalamazoo, MI 49001 | 2018-10-30 |
| 1104318369 | Marathon Health LLC | Nurse Practitioner | 3520 Covington Rd, Kalamazoo, MI 49001 | 2018-06-04 |
| 1407374580 | Joel Damian Burnett | Counselor | 401 Howard St., Kalamazoo, MI 49001 | 2017-09-08 |
| 1538686449 | Amber Dawn Beauchamp | Counselor | 401 S. Howard St., Kalamazoo, MI 49001 | 2017-08-23 |
| 1740645381 | Integrated Spine and Pain Center Pllc | Durable Medical Equipment & Medical Supplies | 1324 S. Park Street, Kalamazoo, MI 49001 | 2015-12-28 |
| 1366825317 | Abigail Rose Franklin- Bly | Social Worker | 1608 Lake St., Kalamazoo, MI 49001 | 2015-07-08 |
| 1194108142 | Glenn Pohl | Social Worker | 1608 Lake Street, Kalamazoo, MI 49001 | 2015-07-08 |
| 1285996850 | Aisha Coulson-walters | Social Worker | 1501 Fulford St, Kalamazoo, MI 49001 | 2012-06-11 |
| 1508169145 | Physicians Toxicology Laboratory, LLC | Clinical Medical Laboratory | 4433 Manchester Rd., Kalamazoo, MI 49001 | 2010-12-20 |
| Find all providers in zip 49001 | ||||
| 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 |
|---|---|---|---|---|
| 1528668811 | Safe Haven Home Health Care L.l.c | Home Health | 3311 Hoover St, Kalamazoo, MI 49008-2693 | 2020-10-27 |
| 1437758463 | D & D Non-medical Home Care Agency LLC | Home Health | 1317 Hotop Ave, Kalamazoo, MI 49048-1824 | 2020-10-21 |
| 1710584438 | Kimberly Tolliver | Home Health | 4410 Lilac Ln Apt 156, Kalamazoo, MI 49006-5773 | 2020-10-06 |
| 1568080794 | Roland Olasunkanmi Awolope | Home Health | 3916 Oakland Dr, Kalamazoo, MI 49008-2859 | 2020-07-14 |
| 1225691520 | Jessica Smith | Home Health | 3531 Comstock Village Ln Apt 102, Kalamazoo, MI 49048-1062 | 2019-04-22 |
| 1720572662 | Shanita Fay Williams | Home Health | 835 Reed Ave, Kalamazoo, MI 49001-3827 | 2018-06-14 |
| 1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
| 1124499538 | Stay Home Companions | Home Health | 6623 E H Ave, Kalamazoo, MI 49048-9470 | 2015-10-12 |
| 1871979542 | Sheniko Holiday | Home Health | 911 Washington Ave, 1703 Race St, Kalamazoo, MI 49001-3062 | 2015-08-05 |
| 1467855601 | Mykala Group LLC | Home Health | 2990 Business One Dr, Kalamazoo, MI 49048-8719 | 2014-10-02 |
| Find all providers in KALAMAZOO | ||||
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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.