Michigan in-Home Partner-IV, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MICHIGAN IN-HOME PARTNER-IV, LLC

Practice address

821 W Water St
Hancock, MI 49930-1953

Phone

(906) 783-1160

Fax

(906) 483-1167

NPI assigned

Mar 9, 2017

Organization subpart

No

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

Authorized official

Name

Donald D. Stelly

Title

President

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other names 1

• UP Health System Home Care and Hospice Portage Doing business as

Locations

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1306387428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 W WATER ST",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499301953",
            "telephone_number": "906-783-1160",
            "fax_number": "906-483-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN IN-HOME PARTNER-IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "STELLY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UP Health System Home Care and Hospice Portage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Meyer, MD
• Julie Meyer, DO
• Lisa Meyer, NP
• Anna Meyers, D.O
• Jared Michael Meyette, MD
• Mary Beth Miller-Strobel, LLMSW
• Mission Point of Hancock LLC
• Judy Lynn Moilanen, LPN
• James E Monette
• Casey D Moore

• Community Based Hospice Care Agency in Hancock, MI
• Providers in Hancock, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.