Active NPI
Portage Health Home Services, Inc.
- Nursing Care Agency
- Hancock, MI
National Provider Identifier
1245453786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- PORTAGE HEALTH HOME SERVICES, INC.
- Practice address
- 200 Michigan St Ste 328
Hancock, MI 49930-1448 - Phone
- (906) 483-1170
- Fax
- (906) 487-7487
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Bogan
- Title
- Board President
- Phone
- (906) 483-1170
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary | ||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
200 Michigan St Ste 328
Hancock, MI 49930-1448
Mailing address
200 Michigan St Ste 328
Hancock, MI 49930-1448
Phone (906) 483-1170
National Provider Directory
National Provider DirectoryLocations
200 Michigan St
Ste 328
Hancock, MI 49930
Phone (906) 483-1170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560816000000",
"number": "1245453786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MICHIGAN ST STE 328",
"city": "HANCOCK",
"state": "MI",
"postal_code": "499301448",
"telephone_number": "906-483-1170",
"fax_number": "906-487-7487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MICHIGAN ST STE 328",
"city": "HANCOCK",
"state": "MI",
"postal_code": "499301448",
"telephone_number": "906-483-1170",
"fax_number": "906-487-7487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTAGE HEALTH HOME SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2019-06-18",
"status": "A",
"authorized_official_last_name": "BOGAN",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "BOARD PRESIDENT",
"authorized_official_telephone_number": "906-483-1170",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hancock, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.