Active NPI
Chad Wetzel
- Home Health Agency
- Charlotte, MI
National Provider Identifier
1104087659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- MI237999
- Practice address
- 294 Legacy Park Dr Apt 5
Charlotte, MI 48813-1359 - Phone
- (517) 543-0691
- NPI assigned
- Jun 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MI237999 | MI | Primary |
Addresses
Primary practice location
294 Legacy Park Dr Apt 5
Charlotte, MI 48813-1359
Mailing address
294 Legacy Park Dr Apt 5
Charlotte, MI 48813-1359
Phone (517) 543-0691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MI237999 | MI | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1104087659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "294 LEGACY PARK DR APT 5",
"city": "CHARLOTTE",
"state": "MI",
"postal_code": "488131359",
"telephone_number": "517-543-0691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "294 LEGACY PARK DR APT 5",
"city": "CHARLOTTE",
"state": "MI",
"postal_code": "488131359",
"telephone_number": "517-543-0691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETZEL",
"first_name": "CHAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-18",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MI",
"license": "MI237999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.