Active NPI
Active Community Nursing, LLC
- Home Health Agency
- Kawkawlin, MI
National Provider Identifier
1144357013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ACTIVE COMMUNITY NURSING, LLC
- Practice address
- 15 W Seidlers Rd
Kawkawlin, MI 48631-9728 - Phone
- (989) 450-1355
- NPI assigned
- Feb 27, 2007
- Last updated
- Mar 22, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel Gerard Williams Sr., RN
- Title
- Ceo
- Phone
- (989) 450-1355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
15 W Seidlers Rd
Kawkawlin, MI 48631-9728
Mailing address
15 W Seidlers Rd
Kawkawlin, MI 48631-9728
National Provider Directory
National Provider DirectoryLocations
4600 Garfield Rd
#300B
Auburn, MI 48611
Phone (989) 662-9816
4600 Garfield Rd
Ste 200
Auburn, MI 48611
4600 Garfield Rd
Ste 800
Auburn, MI 48611
Phone (269) 231-0061
2520 N Euclid Ave
Ste 1
Bay City, MI 48706
Phone (989) 662-9816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332374400000",
"number": "1144357013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 W SEIDLERS RD",
"city": "KAWKAWLIN",
"state": "MI",
"postal_code": "486319728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 W SEIDLERS RD",
"city": "KAWKAWLIN",
"state": "MI",
"postal_code": "486319728",
"telephone_number": "989-450-1355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTIVE COMMUNITY NURSING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2012-03-22",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "GERARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "989-450-1355",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kawkawlin, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.