NPIMap

Organization Active NPI

Mercy Amicare Home Healthcare, Port Huron

Doing business as St. Joseph Mercy Home Care, Port Huron

  • Home Health Agency
  • Port Huron, MI
National Provider Identifier
1205821816
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MERCY AMICARE HOME HEALTHCARE, PORT HURON
Doing business as
St. Joseph Mercy Home Care, Port Huron
Practice address
505 Huron Ave
Port Huron, MI 48060-3805
Phone
(810) 966-3040
Fax
(810) 966-3055
NPI assigned
Sep 20, 2005
Last updated
Feb 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Barbara Sears
Title
Contract Analyst
Phone
(734) 542-8279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

505 Huron Ave
Port Huron, MI 48060-3805

Mailing address

P.O. Box 9185
Farmington Hills, MI 48333-9185
Phone (734) 542-8220

Other identifiers 2

IdentifierTypeStateIssuer
OE134OtherMIBLUE CROSS
3376644MedicaidMI

Other names 1

  • St. Joseph Mercy Home Care, Port Huron Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

505 Huron Ave
Port Huron, MI 48060
Phone (810) 966-3040

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1205821816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9185",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483339185",
            "telephone_number": "734-542-8220",
            "fax_number": "734-542-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 HURON AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603805",
            "telephone_number": "810-966-3040",
            "fax_number": "810-966-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY AMICARE HOME HEALTHCARE, PORT HURON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "SEARS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CONTRACT ANALYST",
        "authorized_official_telephone_number": "734-542-8279"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "OE134",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3376644",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph Mercy Home Care, Port Huron",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.