NPIMap

Organization Active NPI

Home Health Advantage

  • Home Health Agency
  • Niles, MI
National Provider Identifier
1194212795
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME HEALTH ADVANTAGE
Practice address
980 Woods Edge Dr Apt F
Niles, MI 49120-5813
Phone
(269) 267-6491
Fax
(877) 635-7891
NPI assigned
Apr 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Chiquitha CorneliusNPI 1033499173
Title
Authorizing Manager
Phone
(574) 274-0152

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X Primary
Community Based Hospice Care Agency 251G00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

980 Woods Edge Dr Apt F
Niles, MI 49120-5813

Mailing address

980 Woods Edge Dr Apt F
Niles, MI 49120-5813

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1194212795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 WOODS EDGE DR APT F",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491205813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 WOODS EDGE DR APT F",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491205813",
            "telephone_number": "269-267-6491",
            "fax_number": "877-635-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH ADVANTAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "CORNELIUS",
        "authorized_official_first_name": "CHIQUITHA",
        "authorized_official_title_or_position": "AUTHORIZING MANAGER",
        "authorized_official_telephone_number": "574-274-0152"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.