Michigan Senior Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MICHIGAN SENIOR CARE INC.

Practice address

601 E Centre Ave
Suite B
Portage, MI 49002-5514

Phone

(309) 363-7402

Fax

(269) 343-0990

NPI assigned

Aug 5, 2010

Organization subpart

No

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

Authorized official

Name

Bala Peddy

Title

Assistant Administrator

Phone

(309) 363-7402

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1265746960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E CENTRE AVE",
            "address_2": "SUITE B",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490025514",
            "telephone_number": "309-363-7402",
            "fax_number": "269-343-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E CENTRE AVE",
            "address_2": "SUITE B",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490025514",
            "telephone_number": "309-363-7402",
            "fax_number": "269-343-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SENIOR CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "PEDDY",
        "authorized_official_first_name": "BALA",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "309-363-7402"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabbir Miah, RPH
• Michael V Bloom PHD LLC
• Michelle Hanson
• Michigan Integrated Therapies
• Michigan Integrated Therapies
• Mid Michigan Home Visiting Doctors LLC
• Mid-America Psychological Services, P. C.
• Midwest Family Dental Care Portage PC
• Jackquline Mileski, BSW
• Rylee Miller-Lewis, PA-C

• Home Health Agency in Portage, MI
• Providers in Portage, 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 23, 2011; 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.