Organization Active NPI

Michigan Agency With Choice

  • In Home Supportive Care Agency
  • Sturgis, MI
National Provider Identifier
1033411509
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MICHIGAN AGENCY WITH CHOICE
Practice address
215 Broadus St
Sturgis, MI 49091-1686
Phone
(269) 651-4500
Fax
(269) 651-4501
NPI assigned
Dec 3, 2010
Last updated
Dec 3, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
GUARDIANTRAC L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Mr. Timothy Carmichael, CPA
Title
Cfo
Phone
(269) 651-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

215 Broadus St
Sturgis, MI 49091-1686

Mailing address

215 Broadus St
Sturgis, MI 49091-1686
Phone (269) 651-4500

National Provider Directory

National Provider Directory
Part of
Guardiantrac LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1033411509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BROADUS ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911686",
            "telephone_number": "269-651-4500",
            "fax_number": "269-651-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BROADUS ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911686",
            "telephone_number": "269-651-4500",
            "fax_number": "269-651-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN AGENCY WITH CHOICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUARDIANTRAC L.L.C.",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "CARMICHAEL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "269-651-4500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgis, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.