Active NPI
Patricia Lynn Fuller
- Home Health Agency
- Mancelona, MI
National Provider Identifier
1275176901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 802059811
- Practice address
- 3554 Westwood Rd NE
Mancelona, MI 49659-9539 - Phone
- (231) 676-9859
- Fax
- (231) 916-2347
- NPI assigned
- Oct 25, 2019
- Last updated
- Oct 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 802059811 | MI | Primary |
Addresses
Primary practice location
3554 Westwood Rd NE
Mancelona, MI 49659-9539
Mailing address
3554 Westwood Rd NE
Mancelona, MI 49659-9539
Phone (231) 676-9859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 802059811 | Other | MI | AUTO CLAIMS |
Other names 1
- Patricia Lynn McGuff
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 802059811 | MI | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Given Hope Home Health Services | Home Health | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1275176901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3554 WESTWOOD RD NE",
"city": "MANCELONA",
"state": "MI",
"postal_code": "496599539",
"telephone_number": "231-676-9859",
"fax_number": "231-916-2347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3554 WESTWOOD RD NE",
"city": "MANCELONA",
"state": "MI",
"postal_code": "496599539",
"telephone_number": "231-676-9859",
"fax_number": "231-916-2347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "PATRICIA",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-25",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MI",
"license": "802059811",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUTO CLAIMS",
"identifier": "802059811",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "MCGUFF",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mancelona, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.