Family First Health Care Capac PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY FIRST HEALTH CARE CAPAC PLLC

Practice address

117 S Main St
Capac, MI 48014-3715

Phone

(810) 395-4840

Fax

(810) 395-7551

NPI assigned

Dec 5, 2006

Last updated

Jul 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Loren J Decarlo, D.O.NPI 1629003462

Title

Owner

Phone

(810) 395-4840

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 6

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.

• Loren J Decarlo, D.O.

  • Family Medicine Physician
  • Capac, MI
  • NPI 1629003462
  Medicare reassignment Care Compare group NPD Authorized official
• Sarah Hunger, DNP, AGNP-C

  • Nurse Practitioner
  • Capac, MI
  • NPI 1316513047
  Medicare reassignment Care Compare group NPD
• Karey Hartford, F.N.P.

  • Nurse Practitioner
  • Shelby Township, MI
  • NPI 1043239932
  Medicare reassignment Care Compare group
• Pamela Lynne Kuzera, FNP-C

  • Family Nurse Practitioner
  • Detroit, MI
  • NPI 1336646934
  Medicare reassignment Care Compare group
• Shannon M Rottman, PA-C

  • Physician Assistant
  • Marysville, MI
  • NPI 1386610384
  NPD (past)
• Colleen M Scott, D.O.

  • Family Medicine Physician
  • Armada, MI
  • NPI 1063444966
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1376601179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S MAIN ST",
            "city": "CAPAC",
            "state": "MI",
            "postal_code": "480143715",
            "telephone_number": "810-395-4840",
            "fax_number": "810-395-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S MAIN ST",
            "city": "CAPAC",
            "state": "MI",
            "postal_code": "480143715",
            "telephone_number": "810-395-4840",
            "fax_number": "810-395-7551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22905 W Main St",
            "address_purpose": "LOCATION",
            "city": "Armada",
            "state": "MI",
            "postal_code": "480053247",
            "country_code": "US",
            "telephone_number": "586-473-8082",
            "fax_number": "586-473-8129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY FIRST HEALTH CARE CAPAC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "DECARLO",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-395-4840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114735675",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114950369",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "080G411650",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "080G411650",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Capac Medical Center PC
• Jeffrey Mark Cates II, LLMSW
• Norbert E Conrad, D.O.
• Loren J Decarlo, D.O.
• Kellie Lynn Dunlap
• Anthony Carey Fioravanti
• Robert Charles Glapinski, D.O.
• Andrew Goodman
• Todd E. Grubb, DC
• Sarah Hammel, LMSW, IMH-E

• Family Medicine Physician in Capac, MI
• Providers in Capac, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.