Organization Active NPI

Active Community Nursing, LLC

  • Home Health Agency
  • Kawkawlin, MI
National Provider Identifier
1144357013
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.