Great Lakes in-Home Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREAT LAKES IN-HOME HEALTHCARE

Practice address

3800 W Fike Rd
Coleman, MI 48618-8534

Phone

(989) 465-6606

Fax

(989) 465-6386

NPI assigned

Jan 17, 2010

Organization subpart

No

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

Authorized official

Name

Genise L. Reaseoldenburg

Title

President/Owner

Phone

(989) 465-6606

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1263686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263686400000",
    "number": "1285965160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W FIKE RD",
            "city": "COLEMAN",
            "state": "MI",
            "postal_code": "486188534",
            "telephone_number": "989-465-6606",
            "fax_number": "989-465-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W FIKE RD",
            "city": "COLEMAN",
            "state": "MI",
            "postal_code": "486188534",
            "telephone_number": "989-465-6606",
            "fax_number": "989-465-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES IN-HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-17",
        "last_updated": "2010-01-17",
        "status": "A",
        "authorized_official_last_name": "REASEOLDENBURG",
        "authorized_official_first_name": "GENISE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "989-465-6606"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Coleman, MI
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2010; 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.