Friends Who Care-South Haven,LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FRIENDS WHO CARE-SOUTH HAVEN,LLC

Practice address

532 Dyckman Ave Ste a
South Haven, MI 49090-2509

Phone

(269) 639-7323

Fax

(269) 639-7824

NPI assigned

Oct 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Gayle Busselle

Title

Chief Operating Officer

Phone

(248) 968-5540

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215023551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 DYCKMAN AVE STE A",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490902509",
            "telephone_number": "269-639-7323",
            "fax_number": "269-639-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 DYCKMAN AVE STE A",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490902509",
            "telephone_number": "269-639-7323",
            "fax_number": "269-639-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS WHO CARE-SOUTH HAVEN,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUSSELLE",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "248-968-5540",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin John Ferguson, NP-C
• Amy Flessner, RN
• Lisa Ellen Follman
• Michele Patricia Fontaine, RN
• Paul Frederick
• Isabel Garcia
• Evan Ashley Gillo, PA-C
• William Dean Gilmer, CRNA
• Rhonda Jo Gola, FNP
• Graceway South Haven, LLC

• Home Health Agency in South Haven, MI
• Providers in South Haven, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.