Cullodeh LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CULLODEH LLC

Doing business as

Lansing Comforcare

Practice address

405 West Greenlawn Ave
Lansing, MI 48910

Phone

(517) 253-0438

Fax

(517) 580-4224

NPI assigned

Feb 26, 2015

Organization subpart

Yes

Parent organization

CULLODEH LLCAs reported in NPPES

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

Authorized official

Name

Dr. Kenneth Robert Mitkin, MD

Title

President

Phone

(240) 447-1318

Specialties & licenses 1

Addresses

Other names 1

• Lansing Comforcare Doing business as

Part of

Cullodeh LLC

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1265824304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 WEST GREENLAWN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48910",
            "telephone_number": "517-253-0438",
            "fax_number": "517-580-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 WEST GREENLAWN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48910",
            "telephone_number": "517-253-0438",
            "fax_number": "517-580-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLODEH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CULLODEH LLC",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "MITKIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-447-1318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lansing Comforcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jakob Cuellar
• Noa Cuellar
• Jeanjiko D Cuison, M.D.
• Reuben V Cuison, MD
• Isabel Culling
• Mary Claire Culp
• Barbara Culton, LMSW
• Hugh H. Culton, M.D.
• Anne Merideth Cummings, MS, CCC-SLP
• Nicolette Cummings

• In Home Supportive Care Agency in Lansing, MI
• Providers in Lansing, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.