Organization Active NPI

Missaukee County Commission on Aging

  • Home Health Agency
  • Lake City, MI
National Provider Identifier
1003325580
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MISSAUKEE COUNTY COMMISSION ON AGING
Practice address
1980 S Morey Rd
Lake City, MI 49651-9380
Phone
(231) 839-7839
Fax
(231) 839-7630
NPI assigned
Sep 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Natalie Anne Davis
Title
Executive Director
Phone
(231) 839-7839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1980 S Morey Rd
Lake City, MI 49651-9380

Mailing address

PO Box 217
Lake City, MI 49651-0217
Phone (231) 839-7839

National Provider Directory

National Provider Directory

Locations

1980 S Morey Rd
Lake City, MI 49651
Phone (231) 839-7839

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1003325580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "496510217",
            "telephone_number": "231-839-7839",
            "fax_number": "231-839-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 S MOREY RD",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "496519380",
            "telephone_number": "231-839-7839",
            "fax_number": "231-839-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSAUKEE COUNTY COMMISSION ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "231-839-7839",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.