NPIMap

Organization Active NPI

Hospice of Muskegon County, Inc.

Doing business as Harbor Palliative Care

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Muskegon, MI
National Provider Identifier
1306239314
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
613510 Issued in MI
Legal business name
HOSPICE OF MUSKEGON COUNTY, INC.
Doing business as
Harbor Palliative Care
Practice address
1050 W Western Ave
Ste 400
Muskegon, MI 49441-1666
Phone
(231) 728-3442
Fax
(231) 726-2581
NPI assigned
Mar 16, 2015
Last updated
Apr 13, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HOSPICE OF MUSKEGON COUNTY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Susan Houseman, RN, BSN, NHA
Title
President & Ceo
Phone
(231) 728-6820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 613510 MI Primary

Addresses

Primary practice location

1050 W Western Ave
Ste 400
Muskegon, MI 49441-1666

Mailing address

1050 W Western Ave
Suite 400
Muskegon, MI 49441-1694
Phone (231) 728-3442

Other practice location 1

6425 Harvey St
Norton Shores, MI 49444-9739
Phone (231) 737-3469

Other identifiers 3

IdentifierTypeStateIssuer
08701OtherMIBCBS OF MI
1791705MedicaidMI
7402461OtherMIAETNA

Other names 1

  • Harbor Palliative Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hospice of Muskegon County Inc2 organizations share this tax ID, including this one
Part of
Hospice of Muskegon County Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1306239314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W WESTERN AVE",
            "address_2": "SUITE 400",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494411694",
            "telephone_number": "231-728-3442",
            "fax_number": "231-726-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W WESTERN AVE",
            "address_2": "STE 400",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494411666",
            "telephone_number": "231-728-3442",
            "fax_number": "231-726-2581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6425 Harvey St",
            "address_purpose": "LOCATION",
            "city": "Norton Shores",
            "state": "MI",
            "postal_code": "494449739",
            "country_code": "US",
            "telephone_number": "231-737-3469",
            "fax_number": "231-722-0708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOSPICE OF MUSKEGON COUNTY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPICE OF MUSKEGON COUNTY INC.",
        "enumeration_date": "2015-03-16",
        "last_updated": "2023-04-13",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "HOUSEMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "231-728-6820",
        "authorized_official_credential": "RN, BSN, NHA"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "613510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "08701",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1791705",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7402461",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.