Angela Koper, CST, BHA – Case Management Agency

Key facts

NPI: 1265890644
Entity type: Individual (NPI type 1)
Primary specialty: Case Management Agency 251B00000X
Practice address: 4429 Rabidue Rd
Clyde, MI 48049-2926
Phone: (810) 334-4481
NPI assigned: Feb 1, 2016
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Home Assisted Living Program Home Health Agency · Clyde, MI · NPI 1801240890

NPD (past) HOME HEALTH

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
E7830A	MI	MD	Home Health Agency

Practice roles

Organization	Specialty	Status	New patients
Home Assisted Living Program	Home Health	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Health Educator	174H00000X
Surgical Technologist	246ZS0410X	93807
Orthopedic Assistant	246ZX2200X	93807
Case Management Agency	251B00000X			Yes
Public Health or Welfare Agency	251K00000X
In Home Supportive Care Agency	253Z00000X
Home Health Agency	251E00000X	E7830A	MI

Addresses

Primary practice location

4429 Rabidue Rd
Clyde, MI 48049-2926

Mailing address

4429 Rabidue Rd
Clyde, MI 48049-2926
Phone (810) 334-4481

Other providers in Clyde, MI

All providers in Clyde, MI · Case Management Agency in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.