Amanda Belcher
Individual provider Active NPI Home Health Agency · Clarklake, MI
NPI 1144745944 · NPPES record last updated Aug 14, 2017
Key facts
- NPI
- 1144745944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 307 Goldsmith Dr
Clarklake, MI 49234-5705 - Phone
- (517) 529-3109
- Fax
- (517) 529-3109
- NPI assigned
- Aug 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
307 Goldsmith Dr
Clarklake, MI 49234-5705
Mailing address
PO Box 26
Clarklake, MI 49234-0026
NPI Registry JSON
{
"created_epoch": "1502668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502668800000",
"number": "1144745944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26",
"city": "CLARKLAKE",
"state": "MI",
"postal_code": "492340026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 GOLDSMITH DR",
"city": "CLARKLAKE",
"state": "MI",
"postal_code": "492345705",
"telephone_number": "517-529-3109",
"fax_number": "517-529-3109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELCHER",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-14",
"last_updated": "2017-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarklake, MI
All providers in Clarklake, MI · Home Health Agency in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.