Organization Active NPI

Candace Mathews

  • Respite Care
  • Jackson, MI
National Provider Identifier
1336463215
Registry record updated Mar 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
385H00000X Issued in MI
Legal business name
CANDACE MATHEWS
Practice address
117 E Addison St
Jackson, MI 49203-4301
Phone
(517) 795-1752
NPI assigned
Mar 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2010

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

Authorized official

Name
Candace Renee Mathews
Title
Parent
Phone
(517) 795-1752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 385H00000X MI Primary

Addresses

Primary practice location

117 E Addison St
Jackson, MI 49203-4301

Mailing address

117 E Addison St
Jackson, MI 49203-4301

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269129600000",
    "number": "1336463215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E ADDISON ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E ADDISON ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034301",
            "telephone_number": "517-795-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDACE MATHEWS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-21",
        "last_updated": "2010-03-21",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PARENT",
        "authorized_official_telephone_number": "517-795-1752"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MI",
            "license": "385H00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.