Gratiot County Commission on Aging

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRATIOT COUNTY COMMISSION ON AGING

Practice address

515 S Pine River St
Ithaca, MI 48847-1743

Phone

(989) 875-5246

Fax

(989) 875-5281

NPI assigned

Oct 23, 2013

Last updated

Oct 23, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

GRATIOT COUNTYAs reported in NPPES

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

Authorized official

Name

Mr. Craig Lee Zeese

Title

Director

Phone

(989) 875-5246

Specialties & licenses 1

Addresses

Part of

Gratiot Co Ambulance

Locations

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1376971671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S PINE RIVER ST",
            "city": "ITHACA",
            "state": "MI",
            "postal_code": "488471743",
            "telephone_number": "989-875-5246",
            "fax_number": "989-875-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S PINE RIVER ST",
            "city": "ITHACA",
            "state": "MI",
            "postal_code": "488471743",
            "telephone_number": "989-875-5246",
            "fax_number": "989-875-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRATIOT COUNTY COMMISSION ON AGING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRATIOT COUNTY",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "ZEESE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "989-875-5246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kourtney Eichorn
• Paula Lou Ellsworth, NP
• David J Freestone, MD
• Gary a. Schluckebier, DDS, PLLC
• Cody Giddings, ATC, DPT
• Gratiot Isabella Resd
• Elizabeth Marie Hackert-Neff, MA LPC
• Kimberly Hodge
• Wendy Hope
• Horvat Family Dental Care, PLLC

• In Home Supportive Care Agency in Ithaca, MI
• Providers in Ithaca, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.